Individual
ALEXANDRIA RUIDIAZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
157 GREEN ST, BOSTON, MA 02130-2667
(617) 524-1120
Mailing address
780 WILLIAM T MORRISSEY BLVD, BOSTON, MA 02122-3748
(774) 433-2154
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/26/2023
Last updated
08/12/2024
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