Individual
KIMBERLY BOUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
527 BARNARD ST, NEW BEDFORD, MA 02745-4104
(508) 998-9747
Mailing address
527 BARNARD ST, NEW BEDFORD, MA 02745-4104
(508) 998-9747
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
236629
MA
Other
Enumeration date
06/05/2011
Last updated
06/05/2011
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