Individual
ISAAC RURENGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
66 NEWTON ST, WALTHAM, MA 02453-6063
(781) 893-0240
Mailing address
525 PAWTUCKET BLVD UNIT 503, LOWELL, MA 01854-2957
(978) 614-5384
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN99175
MA
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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