Individual
ANNE GITAU KIMANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25 CATALPA CIR, WORCESTER, MA 01603-1841
(774) 242-5797
Mailing address
25 CATALPA CIR, WORCESTER, MA 01603-1841
(774) 242-5797
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN85964
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S41621897
DRIVERS LICENSE
—
Enumeration date
02/13/2018
Last updated
02/13/2018
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