Individual
JACQUELYN ELIZABETH BOUVIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
115 MAIN ST STE 1A-C2D, NORTH EASTON, MA 02356-1468
(508) 824-1780
Mailing address
200 SOMERVILLE AVE, SOMERVILLE, MA 02143-3405
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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