Individual
LUCHELE PENKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CMCN
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 854-2122
Mailing address
155 HILL ST, LEOMINSTER, MA 01453-3970
(978) 466-3401
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN264756
MA
Other
Enumeration date
10/31/2019
Last updated
10/31/2019
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