Individual
ABIEYUWA OMOROGHOMWAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7 PARKER ST, HYDE PARK, MA 02136-3810
(857) 251-2391
Mailing address
7 PARKER ST, HYDE PARK, MA 02136-3810
(857) 251-2391
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN86532
MA
Other
Enumeration date
02/22/2021
Last updated
02/22/2021
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