Individual
JASON DANIEL BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 W 5TH ST, OSWEGO, NY 13126-1022
(315) 529-6206
Mailing address
19 W 5TH ST, OSWEGO, NY 13126-1022
(315) 529-6206
Taxonomy
Speciality
Code
Description
License number
State
343800000X
Secured Medical Transport (VAN)
Primary
—
NY
Other
Enumeration date
09/16/2024
Last updated
09/17/2024
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