Individual
LAURA DEHEULLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
55 SUMMER ST, BOSTON, MA 02110-1007
(617) 426-2690
Mailing address
55 SUMMER ST, BOSTON, MA 02110-1007
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PH237129
MA
Other
Enumeration date
09/20/2022
Last updated
09/20/2022
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