Individual
AKINSEYE AKINBULUMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 VICTORY RD, QUINCY, MA 02171-3139
(774) 296-3998
Mailing address
500 VICTORY RD, QUINCY, MA 02171-3139
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/06/2021
Last updated
07/06/2021
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