Individual
NELSON MAYAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
37 AGATE AVE, WORCESTER, MA 01604-1106
(508) 667-1657
Mailing address
37 AGATE AVE, WORCESTER, MA 01604-1106
(508) 667-1657
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2280631
MA
Other
Enumeration date
02/20/2023
Last updated
02/20/2023
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