Individual
RACHAEL KIKELOMO IDEMUDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 NORFOLK ST, CANTON, MA 02021-3621
(857) 249-4725
Mailing address
25 NORFOLK ST, CANTON, MA 02021-3621
(857) 249-4725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2363375
MA
Other
Enumeration date
01/27/2026
Last updated
01/27/2026
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