Individual
HANNAH LOUISE DAHLEM BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1100 9TH AVE, SEATTLE, WA 98101-2756
(206) 223-6600
Mailing address
1550 CENTERVUE CROSSING WAY APT 103, KNOXVILLE, TN 37932-1756
(253) 948-7760
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
10/20/2019
Last updated
10/20/2019
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