Individual
EDITH AGBONGHAGBONSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4O OAK ST, HYDE PARK, MA 02136-2745
(857) 891-8758
Mailing address
4O OAK ST, HYDE PARK, MA 02136-2745
(857) 891-8758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2273961
MA
Other
Enumeration date
03/07/2022
Last updated
03/07/2022
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