Individual
CAMERON DEFELICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
47 CHANDLER ST, NEWPORT, RI 02841-1716
(401) 367-1249
Mailing address
47 CHANDLER ST, NEWPORT, RI 02841-1716
(401) 367-1249
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
E3540136
—
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
10/01/2021
Last updated
10/22/2024
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