Individual
FRED NMEJE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
45 HARRIETTE ST N, RANDOLPH, MA 02368-2107
(857) 413-1745
Mailing address
45 HARRIETTE ST N, RANDOLPH, MA 02368-2107
(857) 413-1745
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN1002882
MA
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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