Doctor Name: | FRANCES IGIEBOR |
NPI Number: | 1992198964 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 400 W Cummings Park Suite 1625 Woburn, MA - 018016519 |
Business Phone Number: | 9785517275 |
Business Fax Number: | 6175075547 |
Mailing Address: | 30 Angle St Apt 4, LOWELL |
State: | MA |
Postal Code: | 018513341 |
Phone Number: | 9785517275 |
Fax Number: | 6175075547 |
NPI Enumeration Date: | 03/13/2015 |
NPI Last Update Date: | 03/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |