Individual
MR. CAJETAN ANAYO OHAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PROVIDER
Contact information
Practice address
10 COREY AVE, BROCKTON, MA 02301-1558
(617) 775-1568
Mailing address
10 COREY AVE, BROCKTON, MA 02301-1558
(617) 775-1568
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89332
MA
Other
Enumeration date
03/12/2022
Last updated
03/12/2022
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