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Mr. Ryan Renzella, BS
Student in an Organized Health Care Education/Training Program in Watertown, Massachusetts
NPI 1811310428

Ryan Renzella is a Student in an Organized Health Care Education/Training Program based in Watertown, MA. Ryan Renzella practices in Watertown, MA and has the professional credentials of BS. The NPI Number for Ryan Renzella is 1811310428 and holds a License No. (Massachusetts).

The current practice location address for Ryan Renzella is 48 Prospect St, Watertown, MA and can be reached out via phone at 617-516-0280 and via fax at 617-516-0281.

Location: 48 Prospect St, Watertown, MA, 02472-3113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811310428
Provider Name
Ryan Renzella
Credential
BS
Provider Entity Type
Individual
Gender
Male
Address
48 Prospect St, Watertown, MA, 02472-3113
Phone Number
617-516-0280
Fax Number
617-516-0281
Provider Enumeration Date
02/03/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
48 Prospect St
City
Watertown
State
Massachusetts
Zip
02472-3113
Phone Number
617-516-0280
Fax Number
617-516-0281
person
Provider Business Mailing Address Details
Address
48 Prospect St
City
Watertown
State
Massachusetts
Zip
02472-3113
Phone Number
617-516-0280
Fax Number
617-516-0281
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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