Individual
CHARLIE LAM NGUYEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
953 MAIN ST, BROCKTON, MA 02301-6681
(508) 427-0008
Mailing address
28 MORSE ST, RANDOLPH, MA 02368-2224
(781) 300-1488
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHI3856
MA
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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