Individual
MS. MARY JO BOUMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
310 DEDHAM ST, DOVER, MA 02030-2230
(617) 512-3246
Mailing address
310 DEDHAM ST, DOVER, MA 02030-2230
(617) 512-3246
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
3396
MA
Other
Enumeration date
01/28/2015
Last updated
01/28/2015
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