Individual
MRS. KAMMA MUONYE IKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2524
(857) 654-1037
Mailing address
56 ORMOND ST, APT # 2, MATTAPAN, MA 02126-1508
(617) 696-2746
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
257678
MA
Other
Enumeration date
08/20/2009
Last updated
01/23/2015
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