Individual
ELLEN EDUTU IJEBOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 E NEWTON ST, BOSTON, MA 02118-3553
(617) 414-4646
Mailing address
855 E UNIVERSITY AVE APT 636, LAS CRUCES, NM 88001-6615
(956) 236-1793
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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