MR. Ricky Douglas Preston
NPI #1407523632 in Jamaica Plain, Massachusetts
Provider Information
- NPI Number
- 1407523632
- Entity Type
- Individual
- Name
- MR. Ricky Douglas Preston
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Enumeration Date
- Aug 25, 2021
- Last Updated
- Aug 25, 2021
Practice Location
- Address
- 3313 WASHINGTON ST
- City
- Jamaica Plain
- State
- Massachusetts
- ZIP Code
- 02130-2691
- Phone
- (617) 522-0650
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
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