Individual
MS. KRISTIN DIANE BOUDREAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.AC., L.AC.
Contact information
Practice address
126 W MAIN RD, MIDDLETOWN, RI 02842-4937
(877) 482-7896
(877) 283-0678
Mailing address
49 WARD AVE, MIDDLETOWN, RI 02842-5511
(401) 339-8049
(877) 283-0678
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC13182
CA
171100000X
Acupuncturist
Primary
DA00363
RI
Other
Enumeration date
08/23/2010
Last updated
08/23/2010
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