Individual
HOANH THACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 BAKER BLVD APT 57, MARLTON, NJ 08053-1333
(856) 816-0148
Mailing address
10 BAKER BLVD APT 57, MARLTON, NJ 08053-1333
(856) 816-0148
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR21082800
NJ
163W00000X
Registered Nurse
Primary
816584-01
NY
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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