Individual
GIFTY OPPONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
Mailing address
16D KENNEBEC ST, WORCESTER, MA 01606-1060
(617) 749-6149
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN2331464
MA
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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