Individual
MS. JUSTINA KELECHI UWANDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
780 ALBANY ST, BOSTON, MA 02118-2755
(857) 654-1038
Mailing address
780 ALBANY STREET, BOSTON, MA 02118-2524
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN251881
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0719722
—
MA
Enumeration date
05/05/2009
Last updated
09/06/2017
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