Nuong Ai Phan, LIC.AC.

NPI #1427208263 in Dorchester, Massachusetts

Provider Information

NPI Number: 1427208263
Entity Type: Individual
Name: Nuong Ai Phan, LIC.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: LIC.AC.
Enumeration Date: Sep 29, 2008
Last Updated: Sep 29, 2008

Practice Location

Address: 990 DORCHESTER AVE
City: Dorchester
State: Massachusetts
ZIP Code: 02125-1314
Phone: (781) 354-6065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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