Individual
MR. JULIUS LWOMWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
62C CHARLESBANK WAY, WALTHAM, MA 02453-2517
(508) 215-6054
Mailing address
62C CHARLESBANK WAY, WALTHAM, MA 02453-2517
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN86378
MA
Other
Enumeration date
05/12/2012
Last updated
05/12/2012
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