Individual
JACK JOUTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 TOPEKA ST, BOSTON, MA 02118-2717
(617) 442-1499
Mailing address
99 TOPEKA ST, BOSTON, MA 02118-2717
(617) 442-1499
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN96310
MA
Other
Enumeration date
12/22/2025
Last updated
12/22/2025
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