Individual
ALLEN NTANANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
21 MOUNT VERNON AVE, WALTHAM, MA 02451-3112
(781) 726-2784
Mailing address
21 MOUNT VERNON AVE, WALTHAM, MA 02451-3112
(781) 726-2784
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN67276
MA
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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