Individual
NANA ESI ANTWI BOASIAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
VICE PRESIDENT
Contact information
Practice address
870 MAIN ST, WORCESTER, MA 01610-1455
(540) 755-9940
Mailing address
870 MAIN ST, WORCESTER, MA 01610-1455
(540) 755-9940
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401131697
VA
Other
Enumeration date
09/19/2019
Last updated
08/28/2020
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