Individual
JANICE H BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERTIFIED PEDORTHIST
Contact information
Practice address
612 MAIN ST, LACONIA, NH 03246-3448
(603) 528-1528
(603) 528-1528
Mailing address
612 MAIN ST, LACONIA, NH 03246-3448
(603) 528-1528
(603) 528-1528
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
11/26/2006
Last updated
07/08/2007
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