Organization
ALLIANCE WELLCARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMSON EBHO OSEBOR PMHNP (CEO)
(781) 249-8007
Entity
Organization
Contact information
Practice address
240 BEAR HILL RD STE 104, WALTHAM, MA 02451-1026
(781) 249-8007
Mailing address
240 BEAR HILL RD STE 104, WALTHAM, MA 02451-1026
(781) 249-8007
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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