Individual
SAMUEL DALENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 CUNNINGHAM SQ, PROVIDENCE, RI 02918-7001
(401) 865-2970
Mailing address
1 CUNNINGHAM SQ, PROVIDENCE, RI 02918-7001
(401) 865-2970
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
000931
CT
2255A2300X
Athletic Trainer
Primary
AT00530
RI
Other
Enumeration date
09/22/2021
Last updated
09/22/2021
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