Individual
MR. JEAN-MERIMEE KOUAGHEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
85 PATTON RD, DEVENS, MA 01434-4401
(978) 615-5200
Mailing address
43 NORWOOD AVE, AYER, MA 01432
(978) 551-1607
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2263506
MA
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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