Individual
RAFAEL MARINS FREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BREWERS WAY, MILWAUKEE, WI 53214-3655
(414) 514-9720
Mailing address
1570 N PROSPECT AVE APT 503, MILWAUKEE, WI 53202-2317
(623) 628-5404
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1945-39
WI
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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