Individual
PAMELA BOUSHIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1131 WEST ST STE 2, SOUTHINGTON, CT 06489-6006
(860) 517-8888
Mailing address
125 LASALLE RD STE 208, WEST HARTFORD, CT 06107-2311
(860) 906-1289
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
000743
CT
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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