Individual
NUONG AI PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC.AC.
Contact information
Practice address
990 DORCHESTER AVE, DORCHESTER, MA 02125-1314
(781) 354-6065
Mailing address
46 CABOT ST, EVERETT, MA 02149-3503
(781) 354-6065
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
229947
MA
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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