Individual
ELIZABETH BAKANANSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8 WABAN AVE, WORCESTER, MA 01604-2021
(508) 873-4220
Mailing address
8 WABAN AVE, WORCESTER, MA 01604-2021
(508) 873-4220
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN70212
MA
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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