Individual
ZACHARY BOUDREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
20 FAIRBANKS ST #2, 2, AUGUSTA, ME 04330-0000
(207) 660-5931
Mailing address
20 FAIRBANKS ST UNIT 2, AUGUSTA, ME 04330-7005
(207) 660-5931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN63425
ME
Other
Enumeration date
04/17/2014
Last updated
04/17/2014
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