Most Relevant Information
Provider Data
| NPI Number: | 1003014622 |
| Provider Name: | HEATHER RISSER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/05/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
859 WILLARD ST
STE 430
QUINCY
MA
021697482
Practice Location Phone/Fax
| Phone: | 6178471950 |
| Fax: | 6177741490 |
Provider Mailing Location
24 KENWOOD ST
DORCHESTER CENTER
MA
021242212
Provider Mailing Phone/Fax
| Phone: | 8155013381 |
| Fax: |