Individual
MRS. BARBARA PHYLLIS BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
402 PERDIDO DR, GARLAND, TX 75043-5122
(972) 613-8806
Mailing address
1711 WILDROSE DR, ROCKWALL, TX 75032-7390
(469) 471-7658
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
710275
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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