Individual
OGHENEVWAIRHE MADU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 BLUE HILL AVE, BOSTON, MA 02121-3293
(617) 822-5561
Mailing address
27 SOUTHMERE RD # 1, MATTAPAN, MA 02126-2717
(617) 980-5715
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
2352073
MA
Other
Enumeration date
11/07/2021
Last updated
11/07/2021
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