Individual
RAHIMETOU MBOUOMBOUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
365 EAST ST, TEWKSBURY, MA 01876-1950
(978) 851-7321
Mailing address
210 AMESBURY ST, DRACUT, MA 01826-5648
(978) 349-8478
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2299168
MA
Other
Enumeration date
04/05/2025
Last updated
04/05/2025
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