Individual
CAROL MWANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
18 WRENTHAM RD APT 310, WORCESTER, MA 01602-1362
(508) 615-7677
Mailing address
18 WRENTHAM RD APT 310, WORCESTER, MA 01602-1362
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN67365
MA
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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