Individual
STEPHEN KAGOTHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
14 SMITH RD, SUTTON, MA 01590-3723
(774) 276-2049
Mailing address
14 SMITH RD, SUTTON, MA 01590-3723
(774) 276-2049
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
58080
MA
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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