Individual
EMEKA IKENNA CHIDEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
180 WALNUT RD, WRENTHAM, MA 02093-1040
(774) 360-6725
Mailing address
180 WALNUT RD, WRENTHAM, MA 02093-1040
(774) 360-6725
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2315292
MA
Other
Enumeration date
11/28/2024
Last updated
11/28/2024
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