Individual
FREDRICK OMODIAGBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 E MAIN ST, AYER, MA 01432-1608
(347) 845-2425
Mailing address
34 E MAIN ST, AYER, MA 01432-1608
(347) 845-2425
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/10/2022
Last updated
03/10/2022
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