Individual
MRS. ROSY MBAWUIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 BLAKE ST STE 2, HYDE PARK, MA 02136-6102
(617) 817-8643
Mailing address
103 BLAKE ST STE 2, HYDE PARK, MA 02136-6102
(617) 817-8643
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN158354
MA
Other
Enumeration date
11/07/2014
Last updated
11/07/2014
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