Individual
GIFTY OWUSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
227 HAVERHILL ST, DRACUT, MA 01826-5653
(978) 221-1932
Mailing address
227 HAVERHILL ST, DRACUT, MA 01826-5653
(978) 221-1932
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN94922
MA
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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