Individual
MR. JOSEPH LEO MAYNARD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
70 TURNER ST UNIT 6C, WARWICK, RI 02886-3630
(401) 474-1742
Mailing address
70 TURNER ST UNIT 6C, WARWICK, RI 02886-3630
(401) 474-1742
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
RI
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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