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Individual
DR. WANESSA P RISKO
Active
Individual
DR. WANESSA P RISKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78884
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3120730
—
MA
Enumeration date
10/02/2006
Last updated
07/15/2014
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