Individual
MR. JOHN KENNEDY GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
246 CENTERVILLE ROAD (PRIMA DEANA SALON), WARWICK, RI 02886
(401) 692-5158
Mailing address
28 ROSEWOOD AVENUE, CRANSTON, RI 02905
(401) 692-5158
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
01439
RI
225700000X
Massage Therapist
7209
NV
225700000X
Massage Therapist
7829
NH
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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