MRS. RANDI BOULIS

Local Education Agency (LEA)

Active Individual
NPI: 1063789857

Practice Address

40 ALLEN ST
Brockport, NY 14420

Phone: (585) 637-1810

Specialties

Specialty Code Primary License
Local Education Agency (LEA) 251300000X Yes 471964101 (NY)

Frequently Asked Questions

NPI 1063789857 is the National Provider Identifier for MRS. RANDI BOULIS, a Local Education Agency (LEA) provider located in Brockport, NY. This NPI was enumerated on November 21, 2011.
MRS. RANDI BOULIS practices at 40 ALLEN ST, Brockport, NY 14420.

Quick Facts

NPI
1063789857
Type
Individual
Enumerated
Nov 21, 2011
Last Updated
Nov 21, 2011

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