Individual
HARRIET M NAMBOZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
85 CALVARY ST # 2, WALTHAM, MA 02453-5919
(617) 785-6645
Mailing address
85 CALVARY ST # 2, WALTHAM, MA 02453-5919
(617) 785-6645
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN100158
MA
Other
Enumeration date
02/26/2024
Last updated
02/26/2024
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