Individual
EVARISTUS NKONGCHU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 MECHANIC ST STE 200, WORCESTER, MA 01608-2402
(508) 612-7490
Mailing address
37 MECHANIC ST STE 200, WORCESTER, MA 01608-2402
(508) 612-7490
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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