Individual
JACQUELINE ATIENO OGUOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
93 WARD ST UNIT 406, REVERE, MA 02151-1344
(617) 595-0363
Mailing address
93 WARD ST UNIT 406, REVERE, MA 02151-1344
(617) 595-0363
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN2307606
MA
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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