Individual
CHAU MAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
955 QUINCY SHORE DR, QUINCY, MA 02170-3532
(617) 894-1428
Mailing address
955 QUINCY SHORE DR, QUINCY, MA 02170-3532
(617) 894-1428
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2259192
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
236
—
MA
Enumeration date
06/28/2021
Last updated
06/28/2021
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