Individual
DJAWENE MAGNIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
15 CRESCENT ST, UNIT 1, MARLBOROUGH, MA 01752
(508) 364-6416
Mailing address
15 CRESCENT ST, UNIT 1, MARLBOROUGH, MA 01752
(150) 836-4641
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2318571
MA
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN2318571
MA
Other
Enumeration date
09/13/2023
Last updated
09/13/2023
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