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Individual

IRENE KHADONDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
30 POMEWORTH ST APT 46, STONEHAM, MA 02180-1269
(978) 996-2526
Mailing address
30 POMEWORTH ST APT 46, STONEHAM, MA 02180-1269
(978) 996-2526

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
91199
MA

Other

Enumeration date
03/17/2021
Last updated
03/17/2021
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