Individual
AMBROSE EHINOR EGBOKHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
309 BELMONT ST, WORCESTER, MA 01604-1059
(508) 368-4702
Mailing address
5 NAUMAAN LN, WORCESTER, MA 01606-1274
(774) 386-7451
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2310592
MA
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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