| Doctor Name: | MR. RICHARD BAKALUBA KATAZA |
| NPI Number: | 1073811204 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RN |
| License Number: | 2259113 |
| Business Practice Address: | 15 Forest Ln Westborough, MA - 015811466 |
| Business Phone Number: | 5083665541 |
| Business Fax Number: | |
| Mailing Address: | 15 Forest Ln, WESTBOROUGH |
| State: | MA |
| Postal Code: | 015811466 |
| Phone Number: | 5083665541 |
| Fax Number: | |
| NPI Enumeration Date: | 03/11/2011 |
| NPI Last Update Date: | 03/11/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WG0600X |
| License Number: | 2259113 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |