Individual
EVE LUCIA BOUCOUVALAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
13 MARCH FARM WAY UNIT C, GREENLAND, NH 03840-6235
(603) 380-7174
Mailing address
24 GLENHAVEN CIR E, SACO, ME 04072-2222
(207) 300-7733
Taxonomy
Speciality
Code
Description
License number
State
173C00000X
Reflexologist
—
—
174H00000X
Health Educator
MT6621
ME
225700000X
Massage Therapist
Primary
8088
NH
225700000X
Massage Therapist
MT6621
ME
3747P1801X
Personal Care Attendant
—
ME
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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