Individual
SARAH BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1345 MONROE AVE NW STE 140, GRAND RAPIDS, MI 49505-4609
(616) 458-9520
Mailing address
8642 HAWTHORNE DR, JENISON, MI 49428-8218
(517) 331-3460
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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