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Individual

PENINAH ELIZABETH WAITHIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
29 PINE ST, SOUTHBRIDGE, MA 01550-1823
(508) 765-9167
Mailing address
PO BOX 40, SOUTHBRIDGE, MA 01550-0040

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2298837
MA

Other

Enumeration date
03/07/2022
Last updated
03/07/2022
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