Individual
NATHANAELLE ONYINYECHI IBEZIAKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
145 HARRISON AVE, BOSTON, MA 02111-1802
(617) 636-7000
Mailing address
145 HARRISON AVE, BOSTON, MA 02111-1802
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2020
Last updated
03/11/2020
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