Individual
MELISSA VASQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 SARATOGA AVE FL 2, PAWTUCKET, RI 02861-2534
(401) 288-7821
Mailing address
190 SARATOGA AVE FL 2, PAWTUCKET, RI 02861-2534
(401) 288-7821
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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