Individual
PHALLA HEANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
360 MERRIMACK ST STE 5, LAWRENCE, MA 01843-1740
(978) 946-1237
Mailing address
360 MERRIMACK ST STE 5, LAWRENCE, MA 01843-1740
(978) 946-1237
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN280910
MA
Other
Enumeration date
03/14/2014
Last updated
03/14/2014
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