Individual
LESLIE MAI NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
641 BELMONT ST, BROCKTON, MA 02301-4928
(508) 584-8520
Mailing address
641 BELMONT ST, BROCKTON, MA 02301-4928
(508) 584-8520
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH239160
MA
Other
Enumeration date
08/12/2020
Last updated
03/27/2022
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