Individual
PHUC THI DIEM HO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Contact information
Practice address
18 RUSTIC PLACE, QUINCY, MA 02169
(617) 750-3572
Mailing address
18 RUSTIC PLACE, QUINCY, MA 02169
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2309244
MA
Other
Enumeration date
07/11/2019
Last updated
07/11/2019
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