Individual
MARY F BOUTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 847-1950
(617) 774-1490
Mailing address
460 QUINCY AVE, QUINCY, MA 02169-8130
(617) 847-1950
(617) 774-1490
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
279087
MA
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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