Individual
BOPHAR MARIE-FRANCE SOUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2143 SAWKILL RUBY RD, KINGSTON, NY 12401-7127
(845) 797-7585
Mailing address
2600 SOUTH RD STE 44-216, POUGHKEEPSIE, NY 12601-7003
(845) 797-7585
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
313887
NY
Other
Enumeration date
06/11/2020
Last updated
06/11/2020
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