Individual
MICHELLE BOLARINHO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
51 STATE RD, N DARTMOUTH, MA 02747-3319
(508) 999-7779
(508) 910-2217
Mailing address
51 STATE RD, N DARTMOUTH, MA 02747-3319
(508) 999-7779
(508) 910-2217
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
4839
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02099
—
MA
Enumeration date
05/16/2006
Last updated
07/08/2007
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