ELLEN PROEUNG

BOSTON, MA
NPI1083019764
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MA  PA5162)
Enumeration Date2014-10-24
Last Update Date2014-10-24
Business Address
-- ELLEN PROEUNG PA
75 FRANCIS ST
BOSTON, MA 02115-6110
Phone number: 617-632-3206
Mailing Address
-- ELLEN PROEUNG PA
75 FRANCIS ST
BOSTON, MA 02115-6110
Phone number: