Individual
SIBONGINKOSI MNGOMETULU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1003 WESTFORD ST APT 8, LOWELL, MA 01851-2746
(508) 507-5422
Mailing address
1003 WESTFORD ST APT 8, LOWELL, MA 01851-2746
(508) 507-5422
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA1016373
MA
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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