Individual
THERESA T HOANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.OM
Contact information
Practice address
525 S 4TH ST, PHILADELPHIA, PA 19147-1570
(718) 690-1214
Mailing address
376 KIRKS LN, DREXEL HILL, PA 19026-2232
(718) 690-1214
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
OM000135
PA
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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