Individual
MARY BOUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 CUMMINGS CTR, SUITE 364-U, BEVERLY, MA 01915-6175
(978) 338-1726
(978) 922-6468
Mailing address
800 CUMMINGS CTR, SUITE 364-U, BEVERLY, MA 01915-6175
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
88086
MA
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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