NPI 1659050623

Boniface Ningaba

Practitioner Driver Worcester, MA

Practice location

Address: 83 Penn Ave APT 1, Worcester, MA 01604-4288
Phone: (774) 204-5551

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence S82667610 (MA)

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Registry record

NPI: 1659050623
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jul 2023
Record last updated: 17 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.