Individual
CONCEPCION LUY GAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 HIGHLAND AVE, SALEM, MA 01970-2714
(978) 354-3530
Mailing address
8 CRESSEY AVE, SALEM, MA 01970-1506
(978) 210-3461
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN265793
MA
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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