Individual
JAMIE LYN BOIANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
830 CHALKSTONE AVE, PROVIDENCE, RI 02908-4734
(401) 273-7100
Mailing address
94 BAY VIEW AVE APT 2, BRISTOL, RI 02809-3421
(401) 473-1643
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01757
RI
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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