Individual
THEODORA CHIKA OGAMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
360 BLUE HILL AVE, MILTON, MA 02186-1040
(617) 910-7571
Mailing address
360 BLUE HILL AVE, MILTON, MA 02186-1040
(617) 910-7571
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN235866
MA
Other
Enumeration date
07/26/2012
Last updated
07/26/2012
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