Individual
TERESA BOHMBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 LONG POND RD, PLYMOUTH, MA 02360-2663
(774) 773-9623
Mailing address
55 BEATTIE PL STE 810, GREENVILLE, SC 29601-2191
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2302623
MA
Other
Enumeration date
04/23/2018
Last updated
04/23/2018
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