Individual
MARY RICCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
330 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5502
(617) 492-3500
Mailing address
690 CANTON ST STE 325, WESTWOOD, MA 02090-2324
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2281282
RI
Other
Enumeration date
01/31/2019
Last updated
01/31/2019
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