Individual
JERMIN BOULES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3129 MARSHALL HALL RD, BRYANS ROAD, MD 20616-4263
(301) 283-3132
Mailing address
3129 MARSHALL HALL RD, BRYANS ROAD, MD 20616-4263
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
22864
MD
Other
Enumeration date
01/02/2015
Last updated
01/02/2015
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