MR. RICKY DOUGLAS PRESTON
NPI 1407523632
Student in an Organized Health Care Education/Training Program in Jamaica Plain, MA

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since August 25, 2021

3313 WASHINGTON ST, JAMAICA PLAIN, MA 02130(617) 522-0650 Get Directions Write a Review

NPPES record last updated: August 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Mr. Ricky Douglas Preston NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. RICKY DOUGLAS PRESTON (NPI 1407523632) is an individual student in an organized health care education/training program in Jamaica Plain, Massachusetts and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1407523632

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameMR. RICKY DOUGLAS PRESTON

Location Address3313 WASHINGTON STJamaica Plain, MA 02130-2691

Mailing Address26 Mill StStoughton, MA 02072-1425 · (617) 866-3361

Phone(617) 522-0650

Sole ProprietorNo

Enumeration DateAugust 25, 2021

NPPES CertifiedAugust 22, 2021

✔ NPI 1407523632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

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.

3313 WASHINGTON ST, Jamaica Plain, MA 02130

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