Individual
MR. CHRISTOPHER ROY BOULANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
33 SANFORD LN, BETHLEHEM, CT 06751-1816
(203) 980-1421
Mailing address
33 SANFORD LN, BETHLEHEM, CT 06751-1816
(203) 980-1421
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
293066-1
NY
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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