Individual
MALIDA SUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
585 MERRIMACK ST., LOWELL, MA 01854
(978) 322-8600
(978) 322-8622
Mailing address
585-597 MERRIMACK ST., LOWELL, MA 01854
(978) 322-8600
(978) 322-8622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
260879
MA
Other
Enumeration date
03/02/2010
Last updated
03/02/2010
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