Individual
MR. JOHN JOSEPH BALLETTO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
545 PAWTUCKET AVE STE A116, PAWTUCKET, RI 02860-6046
(401) 722-9991
Mailing address
545 PAWTUCKET AVENUE, MAILBOX 304, PAWTUCKET, RI 02860-6094
(401) 722-9991
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT-00194
RI
Other
Enumeration date
04/24/2018
Last updated
04/24/2018
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