Individual
NNENNA O ONYEMAUWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
55 NORTH RD STE 120, BEDFORD, MA 01730-1078
(339) 215-5100
Mailing address
55 NORTH RD STE 120, BEDFORD, MA 01730-1078
(339) 215-5100
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA8068
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009472700
—
FL
Enumeration date
08/19/2013
Last updated
05/27/2022
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