Individual
VAN NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
(617) 740-8106
Mailing address
415 COLUMBIA RD, DORCHESTER, MA 02125-2424
(617) 740-8106
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN2391397
MA
Other
Enumeration date
12/26/2023
Last updated
12/26/2023
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