Individual
MISS JOYCE MUNGAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
295 VARNUM AVE, LOWELL, MA 01854-2134
(978) 455-1557
Mailing address
105 LAFOND LN, APT 6, DRACUT, MA 01826-4471
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
264529
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0714631
MASS HEALTH
MA
Enumeration date
10/10/2007
Last updated
10/24/2014
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