Individual
EMERENTIA ATAKORA AGYEMANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 816-1405
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 816-1405
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN259631
MA
Other
Enumeration date
05/01/2014
Last updated
05/01/2014
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