Individual
PEGGY J BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 E SOMMER OAK DR, ENTERPRISE, AL 36330-8556
(334) 255-7118
Mailing address
102 E SOMMER OAK DR, ENTERPRISE, AL 36330-8556
(334) 255-7118
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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