Individual
SERWADDA THOMAS SEBOWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 KATHLEEN CT, DRACUT, MA 01826-3377
(978) 957-2969
Mailing address
31 KATHLEEN CT, DRACUT, MA 01826-3377
(978) 957-2969
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
69101
MA
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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