Individual
BETSY-LYNN NGOLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
137 SAVANNAH AVE, BOSTON, MA 02126
(857) 615-2813
Mailing address
137 SAVANNAH AVE, BOSTON, MA 02126-1326
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
172V00000X
MA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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