Individual
CHARLES MBAMUKU NDUKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
859 WILLARD ST, ADAMS PLACE, QUINCY, MA 02169
(617) 774-1005
Mailing address
170 MEDITERRANEAN DR APT 19, WEYMOUTH, MA 02188-3845
(781) 475-0230
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/15/2019
Last updated
03/15/2019
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