Individual
OLIVE CHRISTINE NAMBASA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
19 RHODES ST, BILLERICA, MA 01821-3818
(617) 957-9484
Mailing address
19 RHODES ST, BILLERICA, MA 01821-3818
(617) 957-9484
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN93212
MA
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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