Individual
BEJUON ANTONIO EMANUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
64 OCEAN DR, DENNIS PORT, MA 02639-2213
(774) 810-8120
Mailing address
64 OCEAN DR, DENNIS PORT, MA 02639-2213
(774) 810-8120
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN1004672
MA
Other
Enumeration date
06/06/2026
Last updated
06/06/2026
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