Individual
DR. NANCY RAGOSTA-MAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1500 ATWOOD AVE, JOHNSTON, RI 02919-3227
(401) 521-0102
(401) 521-0102
Mailing address
1500 ATWOOD AVE, JOHNSTON, RI 02919-3227
(401) 521-0102
(401) 521-0102
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODT423
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
902817
—
RI
Enumeration date
09/20/2006
Last updated
05/06/2009
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