Individual
IHEUKWUMERE LUCKY IKWUDIRIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14 DELORENZO DR, RANDOLPH, MA 02368-2706
(617) 763-6568
Mailing address
14 DELORENZO DR, RANDOLPH, MA 02368-2706
(617) 763-6568
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
251746
MA
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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