Individual
MR. VICTOR BOARDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
404 SUGAR TREE LN, SOUTH BURLINGTON, VT 05403-6780
(802) 660-4046
Mailing address
120 HEGEMAN AVE, COLCHESTER, VT 05446-3156
(802) 660-4046
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0750016788
VT
Other
Enumeration date
12/24/2013
Last updated
12/24/2013
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