Individual
JESSICA BOUCHER HURLBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
158 HARMON DR, NORTHFIELD, VT 05663-1035
(802) 485-3044
Mailing address
51 MARTIN MEADOW RD, PLAINFIELD, VT 05667-9424
(802) 585-0881
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
104.0127549
VT
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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