Individual
MICHEAL SSENABULYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
658 GORHAM ST, LOWELL, MA 01852-4023
(508) 904-2904
Mailing address
658 GORHAM ST, LOWELL, MA 01852-4023
(508) 904-2904
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN90294
MA
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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