Individual
NHA MY QUACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
885 WASHINGTON ST, BOSTON, MA 02111-1415
(617) 482-7555
(617) 482-2930
Mailing address
145 SOUTH ST, BOSTON, MA 02111-2826
(617) 482-7555
(617) 482-2930
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
250450
MA
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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