Individual
TRISHA AUDUONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15 FRANCIS ST # 215, BOSTON, MA 02115-6105
(617) 732-6866
Mailing address
42 8TH ST APT 1310, CHARLESTOWN, MA 02129-4215
(703) 581-3509
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA7770
MA
Other
Enumeration date
09/28/2020
Last updated
11/19/2021
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