Individual
CLARISSE MUKAMUKIZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
122 11TH ST # 200, LOWELL, MA 01850-2102
(857) 204-0573
Mailing address
122 11TH ST # 200, LOWELL, MA 01850-2102
(857) 204-0573
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
1972467
MA
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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