Individual
LUCY NNODIM-AMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1000
Mailing address
120 BELMONT ST, MALDEN, MA 02148-7769
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN63579
MA
Other
Enumeration date
06/24/2022
Last updated
06/24/2022
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