Individual
SAMSON RUSOKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 OLD LANE RD, SPRINGFIELD, MA 01129-1508
(781) 502-5630
Mailing address
5 OLD LANE RD, SPRINGFIELD, MA 01129-1508
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN100893
MA
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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