Individual
MR. NELSON MATOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
41 PILGRIM AVE, RUMFORD, RI 02916-2410
(401) 435-4218
Mailing address
41 PILGRIM AVE, RUMFORD, RI 02916-2410
(401) 435-4218
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01225
RI
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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