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Individual

JOHNMICHAEL TUMBO KIMANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
230 AMHERST ST, NASHUA, NH 03063-1702
(508) 484-3034
Mailing address
84 W BROADWAY STE 200, DERRY, NH 03038-2323
(508) 484-3034

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
086555-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN2309715
MA

Other

Enumeration date
02/02/2021
Last updated
01/11/2024
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