Individual
JULIE KOMUGISHA NATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 COMET RD, METHUEN, MA 01844-5622
(508) 663-7951
Mailing address
79 COMET RD, METHUEN, MA 01844-5622
(508) 663-7951
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP97856
MA
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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