Individual
GRACE MEGWO FOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5 WINTER ST, EASTHAMPTON, MA 01027-2220
(413) 320-8521
Mailing address
5 WINTER ST, EASTHAMPTON, MA 01027-2220
(413) 320-8521
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2311286
MA
Other
Enumeration date
07/01/2021
Last updated
07/01/2021
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