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Individual

ETHEL AKHIBI-IREO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
333 ELM ST STE 310, DEDHAM, MA 02026-4530
(508) 663-3852
Mailing address
46 RIDGE AVE, DEDHAM, MA 02026-1908
(617) 756-1701

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1710704077
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN265490
MA

Other

Enumeration date
09/26/2024
Last updated
03/20/2025
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