Individual
ANDREW MAWANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
704 CHELMSFORD ST APT 103, LOWELL, MA 01851-5115
(646) 726-7960
Mailing address
704 CHELMSFORD ST APT 103, LOWELL, MA 01851-5115
(646) 726-7960
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN1005857
MA
Other
Enumeration date
03/14/2026
Last updated
03/14/2026
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