Individual
MKAYA MWAMBURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2706 PACKER CT, BRIDGEWATER, NJ 08807-7017
(617) 281-8696
Mailing address
2706 PACKER CT, BRIDGEWATER, NJ 08807-7017
(617) 281-8696
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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