Organization
LILACHOMEBASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE W WAMBUI NURSE (LPN)
(717) 319-0278
Entity
Organization
Contact information
Practice address
201 VERNON ST, WAKEFIELD, MA 01880-1911
(717) 319-0278
Mailing address
201 VERNON ST, WAKEFIELD, MA 01880-1911
(717) 319-0278
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
07/07/2021
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