Individual
MRS. OBIAMAKA REGINA NTUKOGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1140 DORCHESTER AVE, DORCHESTER, MA 02125-3305
(617) 288-0970
(617) 474-0757
Mailing address
10 MIDLAND ST, BROCKTON, MA 02301-1768
(508) 243-7181
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
212688
MA
Other
Enumeration date
10/31/2006
Last updated
12/29/2009
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