Individual
STEPHEN NSUBUGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PRACTICAL NURSE
Contact information
Practice address
1000 LEXINGTON STREET APT 18, 1000, WALTHAM, MA 02452
(617) 504-1496
Mailing address
1000 LEXINGTON STREET APT 18, 1000, WALTHAM, MA 02452
(617) 504-1496
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN67454
MA
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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