Individual
MRS. LAURIE ANN BOHLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
2104 MASSEY AVE, BRANCH MEDICAL CLINIC NAS MAYPORT, JACKSONVILLE, FL 32224
(904) 270-4205
(904) 270-4454
Mailing address
244 OTTERWOOD CT, JACKSONVILLE, FL 32225-3900
(904) 220-0459
(904) 220-0459
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
180106834480059
FL
Other
Enumeration date
03/17/2009
Last updated
03/17/2009
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