Individual
MARY GYEIDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
471 CHESTNUT ST, SPRINGFIELD, MA 01107-2007
(413) 733-1431
Mailing address
471 CHESTNUT ST, SPRINGFIELD, MA 01107-2007
(413) 733-1431
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN10001829
MA
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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