Individual
RICHARD MACON KYEWALABYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
28 SANTUIT ST, #3, DORCHESTER, MA 02124-2417
(617) 680-1584
Mailing address
28 SANTUIT ST, #3, DORCHESTER, MA 02124-2417
(617) 680-1584
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2288272
MA
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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