Individual
BLESSED OVIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
210 CHARLES ST APT 304, WALTHAM, MA 02453-4257
(857) 423-9231
Mailing address
210 CHARLES ST APT 304, WALTHAM, MA 02453-4257
(857) 423-9231
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/13/2021
Last updated
05/13/2021
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