Individual
MARK MWANIKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1100 E SPRING VALLEY DR, ANDOVER, MA 01810-0000
(781) 267-0291
Mailing address
1100 E SPRING VALLEY DR, ANDOVER, MA 01810-0000
(781) 267-0291
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2281663
MA
Other
Enumeration date
08/28/2016
Last updated
08/28/2016
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