Individual
HENRY MASEMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
270 LAWRENCE ST APT 18, LOWELL, MA 01852-3593
(781) 354-0593
Mailing address
270 LAWRENCE ST APT 18, LOWELL, MA 01852-3593
(781) 354-0593
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN98177
MA
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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