Individual
MARIAM BASHIBA NAMAGEMBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
41 PLAIN ST, RANDOLPH, MA 02368-4923
(857) 247-2865
Mailing address
41 PLAIN ST, RANDOLPH, MA 02368-4923
(857) 247-2865
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN10012331
MA
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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