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Elicia Ravello
NPI 1225357999 · on the registry since 2010 · sole proprietor
Practice
- Address
- 11 Bradstreet Ave
Boston, MA 02131 - Phone
- (617) 792-4494
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-05-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts