Individual
MISS AVA ILYANA VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
1443 BEACON ST, BROOKLINE, MA 02446-4707
(832) 314-2845
Mailing address
1443 BEACON ST APT 303, BROOKLINE, MA 02446-4710
(832) 314-2845
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/03/2018
Last updated
04/09/2024
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