Individual
TANYA PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
632 BLUE HILL AVE, DORCHESTER, MA 02121-3213
(617) 825-3400
Mailing address
52 DIX ST APT 1, DORCHESTER, MA 02122-1247
(857) 663-2241
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2319049
MA
Other
Enumeration date
06/19/2025
Last updated
06/19/2025
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