Individual
VINCENT TIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
34 KENILWORTH ST, MALDEN, MA 02148-2823
(646) 361-9648
Mailing address
34 KENILWORTH ST, MALDEN, MA 02148-2823
(646) 361-9648
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11004
MA
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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