Individual
ALLAN WAIGERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
354 W BOYLSTON ST, WEST BOYLSTON, MA 01583-2373
(774) 261-8477
Mailing address
3 HAZEL ST, WORCESTER, MA 01604-1923
(774) 312-0201
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN64512
MA
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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