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MONIQUE BOUDREAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1625 DIAMOND HILL RD, WOONSOCKET, RI 02895-1541
(401) 762-1511
Mailing address
5 KATHRYN ST, CUMBERLAND, RI 02864-7322
(401) 636-0438

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
06693
RI

Other

Enumeration date
02/14/2011
Last updated
02/14/2011
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