Individual
LIEN KIM PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 MAIN ST, HOLYOKE, MA 01040-5381
(413) 701-2600
Mailing address
56 GATES AVE, SPRINGFIELD, MA 01118-2300
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2301960
MA
Other
Enumeration date
05/15/2023
Last updated
05/15/2023
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