Individual
ABIEMWENSE OGBAHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
484 CLINTON AVE, BROOKLYN, NY 11238-1738
(313) 523-3861
Mailing address
484 CLINTON AVE, BROOKLYN, NY 11238-1738
(313) 523-3861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
783855
NY
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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