Individual
BEN MWALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
214 E MOUNTAIN ST, APT 192, WORCESTER, MA 01606-1216
(508) 852-4946
Mailing address
214 E MOUNTAIN ST, APT 192, WORCESTER, MA 01606-1216
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A
MA
Other
Enumeration date
05/29/2012
Last updated
07/21/2022
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