Individual
ANNE ALEXIS FOMBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N
Contact information
Practice address
32 STRATFORD AVE, STOUGHTON, MA 02072-4522
(617) 388-7704
Mailing address
32 STRATFORD AVE, STOUGHTON, MA 02072-4522
(617) 388-7704
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
260896
MA
Other
Enumeration date
01/06/2008
Last updated
01/06/2008
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