Individual
MR. MOSES ETIM SUNDAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
119 HARVARD ST, 119 HARVARD STREET, BROCKTON, MA 02301-5264
(774) 240-8742
Mailing address
119 HARVARD STREET, BROCKTON, MA 02301-0230
(774) 240-8742
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2304251
MA
Other
Enumeration date
03/16/2016
Last updated
03/16/2016
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