Jesse Corriveau

NPI #1114557105 in New London, New Hampshire

Provider Information

NPI Number: 1114557105
Entity Type: Individual
Name: Jesse Corriveau
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 19, 2020
Last Updated: Jan 19, 2020

Practice Location

Address: 541 MAIN ST
City: New London
State: New Hampshire
ZIP Code: 03257-7818
Phone: (603) 526-3400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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