Individual
SOTHEARAVISAL TOUNVANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
75 PLEASANT ST APT 400, MALDEN, MA 02148-3083
(617) 866-7688
Mailing address
1929 MIDDLESEX ST APT 2, LOWELL, MA 01851-1007
(978) 429-4550
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
854546
MA
Other
Enumeration date
07/09/2026
Last updated
07/09/2026
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