Individual
ANNA CATHERINE BOUDREAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
2168 S LAMAR BLVD, OXFORD, MS 38655-5224
(662) 234-1448
(662) 234-5374
Mailing address
PO BOX 1013, OXFORD, MS 38655-1013
(662) 234-1448
(662) 234-5374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00823
MS
Other
Enumeration date
08/27/2024
Last updated
08/27/2024
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