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Individual

TONY MUTUGI MIRITI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
119 PLEASANT ST, LOWELL, MA 01852-2720
(978) 728-7392
Mailing address
119 PLEASANT ST, LOWELL, MA 01852-2720
(978) 728-7392

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN2323890
MA
163WH0200X
Home Health Registered Nurse
RN2323890
MA

Other

Enumeration date
01/07/2020
Last updated
01/07/2020
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