Allen Jeremiah Fish

NPI #1669038345 in Riverside, Rhode Island

Provider Information

NPI Number: 1669038345
Entity Type: Individual
Name: Allen Jeremiah Fish
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Massage Therapist
Enumeration Date: May 17, 2019
Last Updated: May 17, 2019

Practice Location

Address: 250 WAMPANOAG TRL
City: Riverside
State: Rhode Island
ZIP Code: 02915-2218
Phone: (860) 455-8411

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Massage Therapist	225700000X	Primary

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