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Individual

MICHAL MAYATA KUYATEH I

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
32 WENTWORTH AVE APT 311, STOUGHTON, MA 02072-2957
(401) 359-7616
Mailing address
32 WENTWORTH AVE APT 311, STOUGHTON, MA 02072-2957
(401) 359-7616

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
MA
343900000X
Non-emergency Medical Transport (VAN)
MA
374U00000X
Home Health Aide
MA

Other

Enumeration date
01/26/2021
Last updated
04/20/2022
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