Individual
AUDREY ARMELLE NDOMBOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1640 WASHINGTON ST BOSTON, BOSTON, MA 02118
(617) 369-1560
Mailing address
1640 WASHINGTON ST BOSTON, BOSTON, MA 02118
(617) 369-1560
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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