Individual
DONNA A CIACCIA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2020 CENTRE STREET, WEST ROXBURY, MA 02132
(617) 325-6700
(617) 325-6581
Mailing address
192 SYCAMORE STREET, ROSLINDALE, MA 02131
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
234774
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
234774
RN LICENSE
MA
Enumeration date
03/25/2006
Last updated
07/08/2007
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