NPI 1336659689

Tuan Phan

Practitioner Community Health Worker Malden, MA

Practice location

Address: 22 Pleasant St, Malden, MA 02148-5119
Phone: (781) 851-2648
Mailing address: 11 Estes St, Lynn, MA 01902-3057

Registered specialties (3)

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X

Other Community Health Worker providers in Massachusetts →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

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Behavior Technician

Behavioral Health & Social Service Providers Taxonomy 106S00000X

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Registry record

NPI: 1336659689
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Oct 2017
Record last updated: 1 Oct 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.