VISETH SAO

Peer Specialist

Active Individual
NPI: 1679202964

Practice Address

20 WILLIAMS ST
Lowell, MA 01852

Phone: (978) 770-5173

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1679202964 is the National Provider Identifier for VISETH SAO, a Peer Specialist provider located in Lowell, MA. This NPI was enumerated on June 10, 2022.
VISETH SAO practices at 20 WILLIAMS ST, Lowell, MA 01852.

Quick Facts

NPI
1679202964
Type
Individual
Enumerated
Jun 10, 2022
Last Updated
Jun 10, 2022

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