Individual
OBINNA PRINCE ONYEMAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
58 UNION ST APT 11, STOUGHTON, MA 02072-2607
(781) 975-9337
Mailing address
58 UNION ST APT 11, STOUGHTON, MA 02072-2607
(781) 975-9337
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT1618
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100048034704
—
MA
Enumeration date
04/09/2021
Last updated
04/09/2021
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