Individual
MR. OSAMUDIAMEN CHARLES OSAZUWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
33 RICHARD ST, LYNN, MA 01905
(617) 461-3203
Mailing address
33 RICHARD ST, LYNN, MA 01905
(617) 461-3203
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN95919
MA
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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