Individual
THANH MY LUC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
435 HANCOCK ST, QUINCY, MA 02171-2428
(617) 318-3300
Mailing address
167 BILLINGS RD APT 2, QUINCY, MA 02171-2025
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN2298607
MA
Other
Enumeration date
08/18/2017
Last updated
09/22/2020
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