Individual
DR. LINDA J BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
520 E CENTER ST, MANTECA, CA 95336-4720
(209) 860-4393
(209) 650-0684
Mailing address
520 E CENTER ST, MANTECA, CA 95336-4720
(209) 860-4393
(209) 650-0684
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
G58369
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G58369
—
CA
Enumeration date
06/23/2006
Last updated
12/21/2023
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