NPI 1740763739

Addis Woldeguiorguis

Practitioner Peer Specialist Jamaica Plain, MA

Practice location

Address: 157 Green St, Jamaica Plain, MA 02130-2667
Phone: (857) 615-6289

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1740763739
Entity type: Individual
Sex (as registered): Male
NPI issued: 14 Sep 2018
Record last updated: 14 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.