Lisa Marie Boulais, RN, CNS
NPI #1245828094 in Mountain House, California
Provider Information
- NPI Number
- 1245828094
- Entity Type
- Individual
- Name
- Lisa Marie Boulais, RN, CNS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Credential
- RN, CNS
- Enumeration Date
- Jan 7, 2021
- Last Updated
- Jan 7, 2021
Practice Location
- Address
- 92 SEAN AVE
- City
- Mountain House
- State
- California
- ZIP Code
- 95391-1053
- Phone
- (408) 858-1340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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