Individual
NATHAN SEBULIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 APEX DR STE 300A, MARLBOROUGH, MA 01752-1977
(781) 888-4347
Mailing address
97 NEIL ST, MARLBOROUGH, MA 01752-2835
(781) 475-0531
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN95431
MA
Other
Enumeration date
10/20/2023
Last updated
10/20/2023
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