Individual
PIUS KWAME ETTEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
178 LINCOLN ST, APT 6A, WORCESTER, MA 01605-3751
(508) 762-8282
Mailing address
178 LINCOLN STREET APT 6A, WORCESTER, MA 01605-3752
(508) 762-8282
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN88471
MA
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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