Individual
JULIANA MOBISOLA OKON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 DIETZ CT # A, HYDE PARK, MA 02136-1108
(857) 249-7333
Mailing address
1 DIETZ CT, HYDE PARK, MA 02136-1108
(857) 249-7333
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2317197
MA
Other
Enumeration date
11/18/2022
Last updated
11/18/2022
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