NPI 1063953545

Jimmy Duong, LAC

Practitioner Prevention Professional Hanover, MA

Practice location

Address: 90 Rockland St, Hanover, MA 02339-2235
Phone: (781) 829-9355
Mailing address: 5 J a McDermott Cir, Randolph, MA 02368-2753

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 265058 (MA)

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Registry record

NPI: 1063953545
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2017
Record last updated: 16 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.