Individual
MISS VICHEAVY VICTORIA CHANTREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 SUFFOLK ST, LOWELL, MA 01854-4228
(978) 728-2737
Mailing address
250 SUFFOLK ST, LOWELL, MA 01854-4228
(978) 728-2737
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/04/2013
Last updated
06/04/2013
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