Individual
SAMNANG SAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
35 E DUNSTABLE RD, NASHUA, NH 03060-5863
(978) 994-6030
Mailing address
PO BOX 700, DRACUT, MA 01826-0700
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN66580
MA
Other
Enumeration date
04/30/2022
Last updated
04/30/2022
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