Individual
QUYEN DO DIEP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
155 HIGHLAND AVE, LOWELL, MA 01851-3601
(978) 397-3763
Mailing address
155 HIGHLAND AVE, LOWELL, MA 01851-3601
(978) 397-3763
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN89588
MA
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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