Individual
MR. VIRGILIUS UZO MBAWUIKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10 PINEWOOD ST, MATTAPAN, MA 02126-1020
(617) 233-5829
Mailing address
10 PINEWOOD ST, MATTAPAN, MA 02126-1020
(617) 233-5829
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
236261
MA
Other
Enumeration date
01/09/2009
Last updated
03/20/2020
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