Individual
CALVIN CAMANDA NGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
391 VARNUM AVE, LOWELL, MA 01854-2119
(978) 674-6744
Mailing address
391 VARNUM AVE, LOWELL, MA 01854-2119
(978) 674-6744
Taxonomy
Speciality
Code
Description
License number
State
163WP0807X
Child & Adolescent Psychiatric/Mental Health Registered Nurse
Primary
RN10017101
MA
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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