Individual
SAMANTHA BOUFFARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 RETFORD CT, LUMBERTON, NJ 08048-5026
(609) 864-2844
Mailing address
4 RETFORD CT, LUMBERTON, NJ 08048-5026
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26NP06945600
NJ
Other
Enumeration date
04/20/2018
Last updated
04/20/2018
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