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Individual

EMELDA IWOBI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
62 TEMI RD, BROCKTON, MA 02302-3049
(857) 251-2229
Mailing address
62 TEMI RD, BROCKTON, MA 02302-3049
(857) 251-2229

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2294985
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1982190542
HOME CARE
MA
Enumeration date
07/27/2022
Last updated
05/01/2025
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