Individual
MR. STEVE NGOY KIMBA WAKADILO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSN RN
Contact information
Practice address
23 JASMINE DR, WORCESTER, MA 01605-4002
(508) 733-2541
Mailing address
23 JASMINE DR, WORCESTER, MA 01605-4002
(508) 733-2541
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
257139
MA
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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