Individual
AGNES NABALOGA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
267 MOODY ST, WALTHAM, MA 02453-5234
(617) 396-6934
Mailing address
267 MOODY ST, WALTHAM, MA 02453-5234
(617) 396-6934
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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