Individual
MS. KIM LIEN THI LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 ALBANY ST STE 4B, BOSTON, MA 02118-3549
(617) 638-5633
Mailing address
960 MASSACHUSETTS AVE, FL 2, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA6775
MA
Other
Enumeration date
10/02/2018
Last updated
10/25/2024
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