Elicia Lauren Ravello

NPI 1225357999 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1225357999
Gender Female
Enumeration Date 05/20/2010
Last Updated 05/20/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
11 BRADSTREET AVE
BOSTON MA, 02131-3823, US
Phone (617) 792-4494
Fax
Business Location
11 BRADSTREET AVE
BOSTON MA, 02131-3823, US
Phone (617) 792-4494
Fax
Toxanomy
Taxonomy Code 171M00000X
License State Massachusetts
License Number 4030878
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According to our database, Elicia Lauren Ravello NPI is 1225357999, taxonomy code is 171M00000X and license number is 4030878, license state is located at Massachusetts. Elicia Lauren Ravello physically located at 11 Bradstreet Ave, Boston MA, 02131-3823. NPI Number Elicia Lauren Ravello has the Individual type.

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1225357999 NPI number is provided on an as is basis without warranty of any kind. 1225357999 is maintained by the National Plan & Provider Enumeration System. The contents of Elicia Lauren Ravello are for informational purposes only.