Individual
ANTHONY PAUL EACUELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 ALPINE ESTATES DR, CRANSTON, RI 02921-3559
(401) 500-3967
Mailing address
216 ALPINE ESTATES DR, CRANSTON, RI 02921-3559
(401) 500-3967
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
10/27/2021
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