Individual
EMMANUEL NUBUOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21L GOLDTHWAITE RD APT 10, WORCESTER, MA 01605-1480
(774) 242-2060
Mailing address
21L GOLDTHWAITE RD APT 10, WORCESTER, MA 01605-1480
(774) 242-2060
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN88435
MA
Other
Enumeration date
09/22/2015
Last updated
09/22/2015
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