Individual
LIVIA GRACE BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN-BSN
Contact information
Practice address
12 BOLDUC AVE, FORT KENT, ME 04743-1602
(207) 834-3971
(207) 834-3837
Mailing address
12 BOLDUC AVE, FORT KENT, ME 04743-1602
(207) 834-3971
(207) 834-3837
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN89635
ME
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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