Individual
FAUZI MUKASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
44 WINTER ST, WOBURN, MA 01801-1237
(857) 417-7893
Mailing address
44 WINTER ST, WOBURN, MA 01801-1237
(857) 417-7893
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN953152
MA
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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