Individual
NANA YAA BOATEMAA MANU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
182 MAIN ST, STURBRIDGE, MA 01566-1258
(508) 347-9936
Mailing address
182 MAIN ST, STURBRIDGE, MA 01566-1258
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH237926
MA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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