Individual
OBIAGELI L UKATU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
126 COVE ST, FALL RIVER, MA 02720-1357
(508) 678-0041
(508) 324-9002
Mailing address
126 COVE ST, FALL RIVER, MA 02720-1357
(508) 678-0041
(508) 324-9002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2273887
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2273887
MA
Other
Enumeration date
09/20/2021
Last updated
07/19/2024
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