Individual
ADDIE EBHOMIELEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
425 WALNUT ST, STOUGHTON, MA 02072-4169
(857) 204-2035
Mailing address
425 WALNUT ST, STOUGHTON, MA 02072-4169
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN2349674
MA
Other
Enumeration date
03/04/2026
Last updated
03/04/2026
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