Individual
SOCKVIECHHEA THOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
41 HIGHLAND AVE, WINCHESTER, MA 01890-1446
(781) 756-7095
Mailing address
80 ROGERS ST UNIT 401, LOWELL, MA 01852-3690
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN2287624
MA
363LA2200X
Adult Health Nurse Practitioner
Primary
RN2287624
MA
363LG0600X
Gerontology Nurse Practitioner
RN2287624
MA
Other
Enumeration date
11/02/2020
Last updated
06/15/2021
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