Individual
MARY M KAGUNYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
50 OAK ST EXT APT 301, BROCKTON, MA 02301-1137
(617) 877-9142
Mailing address
50 OAK ST EXT APT 301, BROCKTON, MA 02301-1137
(617) 877-9142
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP86044
MA
Other
Enumeration date
10/12/2021
Last updated
10/12/2021
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