Individual
FESTUS KASYOKA MBUVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
167 SCHOOL ST, LOWELL, MA 01854-3212
(197) 865-4153
Mailing address
167 SCHOOL ST, LOWELL, MA 01854-3212
(197) 865-4153
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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