Individual
LYDIA WANJOHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 EMERSON RD, BILLERICA, MA 01821-1422
(781) 558-6708
Mailing address
5 EMERSON RD, BILLERICA, MA 01821-1422
(781) 558-6708
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN94850
MA
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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