Individual
JANE MBOGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 LIBERTY LN, NORFOLK, MA 02056-1446
(508) 613-1800
Mailing address
3 LIBERTY LN, NORFOLK, MA 02056-1446
(508) 613-1800
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239221
MA
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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