Individual
MR. JOHNES GHATI KITOLOLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
391 VARNUM AVE, LOWELL, MA 01854-2119
(978) 674-6744
Mailing address
593 BROADWAY ST APT 3R, LOWELL, MA 01854-3344
(909) 344-9684
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN95691
MA
Other
Enumeration date
05/08/2024
Last updated
05/08/2024
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