Individual
TERESAH NYAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10 OVERLOOK TRL APT 10211, PEABODY, MA 01960-8840
(781) 346-2330
Mailing address
10 OVERLOOK TRL APT 10211, PEABODY, MA 01960-8840
(781) 346-2330
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN91033
MA
Other
Enumeration date
08/03/2020
Last updated
08/03/2020
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