MS. Nannette M Boulais, LMT
NPI #1093870404 in Summerfield, Florida
Provider Information
- NPI Number
- 1093870404
- Entity Type
- Individual
- Name
- MS. Nannette M Boulais, LMT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Massage Therapist
- Credential
- LMT
- Enumeration Date
- Dec 26, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 10935 SE 177TH PL
- Address 2
- SUITE 306
- City
- Summerfield
- State
- Florida
- ZIP Code
- 34491-8975
- Phone
- (352) 250-4696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Massage Therapist |
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