Organization
MBILACITY LIMITED LIABILITY COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINYERE NWANESIDU (OWNER NP)
(617) 943-5080
Entity
Organization
Contact information
Practice address
5 MCENELLY CIR, RANDOLPH, MA 02368-3672
(617) 943-5080
Mailing address
5 MCENELLY CIR, RANDOLPH, MA 02368-3672
(617) 943-5080
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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