Individual
CHIDINMA LUCKY IGBOKWE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON, MA 02130-4817
(857) 364-3634
Mailing address
89 BENNETT ST, BROCKTON, MA 02302-2463
(508) 584-3859
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
203102
MA
Other
Enumeration date
03/23/2010
Last updated
09/30/2011
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