Individual
JESSICA OLUCHI IWUEZE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1630 TREMONT ST, ROXBURY, MA 02120-1613
(617) 232-5457
Mailing address
30 GARRISON ST APT 403, BOSTON, MA 02116-5738
(469) 408-4337
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH240062
MA
Other
Enumeration date
04/21/2021
Last updated
04/21/2021
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