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Organization
TRIVE TRU HEALTH SERVICES INC
Active
Organization
TRIVE TRU HEALTH SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIVINE CHINYERE EZEWUZIE NP (OWNER)
(857) 251-9231
Entity
Organization
Contact information
Practice address
7 LINCOLN ST STE 201, WAKEFIELD, MA 01880-3033
(857) 251-9231
Mailing address
122 BELMONT ST, MALDEN, MA 02148-7769
(857) 251-9231
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/06/2024
Last updated
10/17/2024
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