Individual
RONALD KIMBUGWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
56 PAWTUCKET BLVD, TYNGSBORO, MA 01879-1592
(781) 658-0041
Mailing address
56 PAWTUCKET BLVD, TYNGSBORO, MA 01879-1592
(781) 658-0041
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LN102218
MA
164W00000X
Licensed Practical Nurse
Primary
LN1O2218
MA
Other
Enumeration date
07/14/2025
Last updated
07/14/2025
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