Jimmy Fouche
Jimmy Fouche is a Community/Behavioral Health Agency in Boston, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
520 Dudley StBoston, MA 02119-2769
Phone: (617) 989-9459
Fax: (617) 445-2672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1609313279 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | January 20, 2017 |
| Last updated in NPPES | January 20, 2017 |
| Mailing address | 520 Dudley Street, Boston, MA 02119 |
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