Provider Demographics
NPI:1245070093
Name:RUMINJO, ESTHER WANGECHI
Entity type:Individual
Prefix:
First Name:ESTHER
Middle Name:WANGECHI
Last Name:RUMINJO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 FRED DOLAN CIR
Mailing Address - Street 2:
Mailing Address - City:RANDOLPH
Mailing Address - State:MA
Mailing Address - Zip Code:02368-2854
Mailing Address - Country:US
Mailing Address - Phone:617-470-6801
Mailing Address - Fax:
Practice Address - Street 1:7 FRED DOLAN CIR
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-2854
Practice Address - Country:US
Practice Address - Phone:617-470-6801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA258829163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult