Individual
GLORIA N IHEUWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
35 PEARL ST STE 300, BROCKTON, MA 02301-2866
(508) 584-6300
Mailing address
35 PEARL ST STE 300, BROCKTON, MA 02301-2866
(508) 584-6300
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2339010
MA
363LF0000X
Family Nurse Practitioner
263302
MD
Other
Enumeration date
11/13/2023
Last updated
04/16/2024
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