Individual
JOCELYN RICCI KIRSCH GUGGENHEIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
409 W BROADWAY, BOSTON, MA 02127-2245
(617) 269-7500
Mailing address
409 W BROADWAY, BOSTON, MA 02127-2245
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
RN279918
MA
Other
Enumeration date
07/18/2011
Last updated
07/18/2011
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