Organization
LINDA J BOUCHARD MD, INC
Active
Other names
Linda J Bouchard, MD
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA JEAN BOUCHARD MD (OWNER)
(098) 604-3932
Entity
Organization
Contact information
Practice address
520 E. CENTER ST., MANTECA, CA 95336-4720, MANTECA, CA 95336-4720
(209) 860-4393
Mailing address
520 E. CENTER ST., MANTECA, CA 95336-4720, MANTECA, CA 95336-4720
(209) 860-4393
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
01/17/2024
Last updated
01/17/2024
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