Individual
KATHRYN MARIE RAVENOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 GENERAL ST, LAWRENCE, MA 01841-2997
(978) 683-4000
Mailing address
70 CONSTITUTION RD, BOSTON, MA 02129-2038
(860) 930-4141
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2316202
MA
390200000X
Student in an Organized Health Care Education/Training Program
RN2316202
MA
Other
Enumeration date
04/18/2023
Last updated
12/18/2023
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