Individual provider · Type 1 NPI

Ricky Douglas Preston

Student in an Organized Health Care Education/Training Program · Jamaica Plain, MA

NPI number 1407523632 Active

Practice location

3313 Washington St
Jamaica Plain, MA 02130-2691

Call (617) 522-0650 Map

Mailing address

26 Mill St
Stoughton, MA 02072-1425

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1407523632

Ricky Douglas Preston's National Provider Identifier is 1407523632, issued on Aug 25, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Jamaica Plain, MA. The record was last updated on Aug 25, 2021.