Individual
JESSICA BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
68 DALLAS AVE, CRANSTON, RI 02905-2505
(413) 636-6242
Mailing address
68 DALLAS AVE, CRANSTON, RI 02905-2505
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
969
CT
Other
Enumeration date
10/09/2016
Last updated
10/09/2016
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