Individual
DAMARIS WAITHIRA MAINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 BAYBERRY DR, LOWELL, MA 01852-4965
(978) 726-3109
Mailing address
76 BAYBERRY DR, LOWELL, MA 01852-4965
(978) 726-3109
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2355140
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9787263109
—
MA
Enumeration date
09/12/2022
Last updated
09/12/2022
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