Individual
MARY MWAURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 VERNON ST, WAKEFIELD, MA 01880-1911
(617) 386-9346
Mailing address
201 VERNON ST, WAKEFIELD, MA 01880-1911
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LN93684
MA
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/01/2021
Last updated
07/08/2021
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