Individual
MS. ROSETTE NAMWANJE KINTU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 MEETINGHOUSE RD., NORFOLK, MA 02056-1793
(508) 440-5752
Mailing address
57 MEETINGHOUSE RD, NORFOLK, MA 02056-1793
(508) 440-5752
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
50095
MA
164X00000X
Licensed Vocational Nurse
50095
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200711200006
MASSHEALTH PROVIDER
MA
Enumeration date
12/19/2007
Last updated
12/19/2007
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