Janie Boulware

NPI #1306858600 in Macclenny, Florida

Provider Information

NPI Number
1306858600
Entity Type
Individual
Name
Janie Boulware
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Day Training/Habilitation Specialist
Enumeration Date
Aug 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
706 SHORTPUTT DR
State
Florida
ZIP Code
32063-4319
Phone
(904) 265-0340

Specialties & Taxonomy Codes

Specialty
Day Training/Habilitation Specialist

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