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Nialah M Edouazin

Community Health Worker in Randolph, MA. Individual provider (NPI-1).

NPI number1326565474
StatusActive
Last updated in NPPESAug 29, 2017

Details

NPI
1326565474
Entity type
Individual (NPI-1)
Name
Nialah M Edouazin
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 29, 2017
Last updated
Aug 29, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
172V00000X Community Health Worker––Yes

Practice location

44 Diauto Dr
Randolph, MA 02368-4536

Phone 781-885-7252

Mailing address

44 Diauto Dr
Randolph, MA 02368-4536

Phone 781-885-7252

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