Individual
JONATHAN CONTRERAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 EAGLE ST UNIT 308, PROVIDENCE, RI 02908-5660
(401) 525-6989
Mailing address
12 EAGLE ST UNIT 308, PROVIDENCE, RI 02908-5660
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
03/22/2023
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