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Individual

DUC LY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1439 FURNACE BROOK PKWY, QUINCY, MA 02169-6111
(857) 251-1325
Mailing address
1439 FURNACE BROOK PKWY, QUINCY, MA 02169-6111
(857) 251-1325

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
S87187214
MA

Other

Enumeration date
01/03/2019
Last updated
01/03/2019
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