Individual
ALBERT NDIVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 METHUEN ST, LAWRENCE, MA 01840-1772
(978) 620-1770
Mailing address
12 METHUEN ST, LAWRENCE, MA 01840-1772
(978) 620-1250
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
271671
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154302586
—
MA
Enumeration date
04/05/2019
Last updated
11/27/2023
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