Individual
GRACE ADAOBI OMOREGIE-EDEWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 WILDER ST, BROCKTON, MA 02301-1529
(781) 771-8576
Mailing address
8 WILDER ST, BROCKTON, MA 02301-1529
(781) 771-8576
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2022041912
MA
Other
Enumeration date
08/12/2022
Last updated
08/12/2022
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