Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Ricky Douglas Preston

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1407523632

Mr. Ricky Douglas Preston is a Student in an Organized Health Care Education/Training Program in Jamaica Plain, Massachusetts. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3313 Washington St
Jamaica Plain, MA 02130-2691
Phone: (617) 522-0650
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1407523632
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 25, 2021
Last updated in NPPESAugust 25, 2021
Certification dateAugust 22, 2021

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