Individual
MISSIBI NGEAH HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
381 MAIN ST, TOWNSEND, MA 01474-1030
(804) 298-7407
Mailing address
381 MAIN ST, TOWNSEND, MA 01474-1030
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN98250
MA
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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