Individual
ISAAC SEBANENYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
147 RANGEWAY RD UNIT 1203, NORTH BILLERICA, MA 01862-2034
(781) 325-2238
Mailing address
147 RANGEWAY RD UNIT 1203, NORTH BILLERICA, MA 01862-2034
(781) 325-2238
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN2373876
MA
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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