Individual
SAMANTHA CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
12 QUEEN ST, WORCESTER, MA 01610-2411
(508) 860-1239
Mailing address
4 CARRUTH DR, NORTHBOROUGH, MA 01532-1400
(508) 439-7460
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN2334245
MA
Other
Enumeration date
06/26/2022
Last updated
06/26/2022
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