Individual
KWAME AGYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
83 CIRCUIT AVE W, WORCESTER, MA 01603-2156
(508) 868-1576
Mailing address
83 CIRCUIT AVE W, WORCESTER, MA 01603-2156
(508) 868-1576
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2352031
MA
163WH0200X
Home Health Registered Nurse
Primary
RN2352031
MA
Other
Enumeration date
09/08/2022
Last updated
09/08/2022
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