SearchNew Jersey164W00000X

Samantha Bouffard

NPI 1205323755 · on the registry since 2018 · sole proprietor

Practice

Address
4 Retford Ct
Lumberton, NJ 08048
Phone
(609) 864-2844

Registry record

Primary taxonomy
164W00000X
164W00000X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-04-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey