Mr. Gallus Lereh Fotabong
Mr. Gallus Lereh Fotabong is a Gerontology Nurse Practitioner in Lynn, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2021.
- Licensed in
- MA
- In the registry since
- 2021
Practice location Address checks out
41 Harvest StLynn, MA 01902-1122
Phone: (781) 244-8473
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Gerontology Nurse Practitioner (primary) | Taxonomy 363LG0600X · Licence AG11210066 (MA) |
|---|
Record details
| NPI number | 1821755513 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 17, 2021 |
| Last updated in NPPES | November 17, 2021 |
| Certification date | November 17, 2021 |
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