Individual
LEAH WAITHIRA NDUNGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 MIDDLE ST, DRACUT, MA 01826-3211
(978) 397-4085
Mailing address
3 MIDDLE ST, DRACUT, MA 01826-3211
(978) 397-4085
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN64621
MA
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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