Most Relevant Information
Provider Data
NPI Number: | 1003293457 |
Provider Name: | RYAN SPINA |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 05/05/2015 |
Last Updated: | 05/05/2015 |
Provider Practice Location
58 DUNSTER RD # 1
JAMAICA PLAIN
MA
021302704
Practice Location Phone/Fax
Phone: | 7742173137 |
Fax: |
Provider Mailing Location
58 DUNSTER RD # 1
JAMAICA PLAIN
MA
021302704
Provider Mailing Phone/Fax
Phone: | |
Fax: |