Individual
MRS. EGBE BENEDICTA ADEKUNLE-MOSES I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 HEBRON ST, HYDE PARK, MA 02136-6201
(857) 544-9755
Mailing address
229 HEBRON ST, HYDE PARK, MA 02136-6201
(857) 544-9755
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN90968
MA
374U00000X
Home Health Aide
—
MA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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