Individual
MS. BRIANNA LEIGH BOULANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
100 HIGHLAND AVE, SUITE 102, PROVIDENCE, RI 02906
(401) 305-5280
(401) 305-5285
Mailing address
100 HIGHLAND AVE, SUITE 102, PROVIDENCE, RI 02906
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT01910
RI
Other
Enumeration date
10/24/2013
Last updated
10/24/2013
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