Individual
MARIA ASSUMPTA KAWEESA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
49 JACQUELINE RD APT 9, WALTHAM, MA 02452-4958
(617) 699-2656
Mailing address
49 JACQUELINE RD APT 9, WALTHAM, MA 02452-4958
(617) 699-2656
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN86417
MA
Other
Enumeration date
07/04/2023
Last updated
07/04/2023
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