DEMITRIA MARIE DERRICO

BOSTON, MA
NPI1366166043
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MA  3713)
Enumeration Date2022-09-27
Last Update Date2022-09-27
Business Address
DEMITRIA MARIE DERRICO
285 BABCOCK ST
BOSTON, MA 02215-1003
Phone number: 617-353-2746
Mailing Address
DEMITRIA MARIE DERRICO
28 LITCHFIELD ST APT 3
BRIGHTON, MA 02135-1499
Phone number: 304-685-5542