Individual
JAKE LIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
279 MAIN AVE, WARWICK, RI 02886-3458
(401) 527-2014
Mailing address
279 MAIN AVE, WARWICK, RI 02886-3458
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/19/2020
Last updated
02/19/2020
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