Individual
MRS. NDIDI NDUKWE-UGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
102 SUMMER ST, HYDE PARK, MA 02136-1546
(617) 233-4202
Mailing address
102 SUMMER ST, HYDE PARK, MA 02136-1546
(617) 233-4202
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN60051
MA
Other
Enumeration date
08/21/2021
Last updated
08/21/2021
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