Individual
MS. TEMICA DONESE BOUTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8317 ALAMEDA ST, DOWNEY, CA 90242-3629
(562) 861-4504
Mailing address
8317 ALAMEDA ST, DOWNEY, CA 90242-3629
(562) 861-4504
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA15678
CA
Other
Enumeration date
12/13/2006
Last updated
01/11/2011
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