LISA MARIE BOULAIS RN, CNS
Individual Provider (NPI-1)
Active
Registered Nurse
Provider Information
- NPI Number
1245828094- Provider Type
- Individual Provider (NPI-1)
- Credentials
- RN, CNS
- Status
- Active
Contact & Location
- Address
- 92 SEAN AVE, MOUNTAIN HOUSE, CA, 953911053
- Phone
- (408) 858-1340
Specialties & Taxonomies
Registered Nurse
Primary License: CA #428299
All Addresses
MAILING
1 CVS DR
WOONSOCKET, RI, 028956195