Individual
KIORA S AMOFAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
55 DIXFIELD ST, WORCESTER, MA 01606-1094
(508) 688-0782
Mailing address
55 DIXFIELD ST, WORCESTER, MA 01606-1094
(508) 688-0782
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
86319
MA
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
86319
MA
Other
Enumeration date
01/01/2025
Last updated
01/01/2025
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