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Organization

EVERGREEN FAMILY CHIROPRACTIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANISSA BOUDREAU DC (CHIROPRACTOR)
(401) 301-4940
Entity
Organization

Contact information

Practice address
712 PUTNAM PIKE UNIT 4, CHEPACHET, RI 02814-1404
(401) 568-2200
Mailing address
142 S MAIN ST, COVENTRY, RI 02816-5729

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary

Other

Enumeration date
08/04/2025
Last updated
12/02/2025
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