Individual
SWABRIC MUKASA MUWONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
63 TRAILSIDE WAY, ASHLAND, MA 01721-2378
(505) 887-0191
Mailing address
63 TRAILSIDE WAY, ASHLAND, MA 01721-2378
(505) 887-0191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
264141
MA
163WC2100X
Continence Care Registered Nurse
264141
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0704253
PROVIDER NUMBER
MA
Enumeration date
03/29/2008
Last updated
03/29/2008
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