Individual
GIZELLE GEVA MEDINACELI BOULTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-9665
Mailing address
111 COLCHESTER AVE, BURLINGTON, VT 05401-1473
(802) 847-2885
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
033.0134443
VT
183500000X
Pharmacist
PHCY-00870
NH
183500000X
Pharmacist
RPH6550
ND
Other
Enumeration date
03/08/2020
Last updated
07/17/2025
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