Individual
ROSEMARY MUKUNDI NYAWIRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4 BLUEBERRY WAY, PEABODY, MA 01960-4940
(781) 405-6716
Mailing address
4 BLUEBERRY WAY, PEABODY, MA 01960-4940
(781) 405-6716
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
68970
MA
Other
Enumeration date
05/27/2017
Last updated
05/27/2017
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