Individual
GIFT CHIABWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
27 MOON CT, DRACUT, MA 01826-3378
(978) 996-2543
Mailing address
27 MOON CT, DRACUT, MA 01826-3378
(978) 996-2543
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN70231
MA
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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