Individual
MICHELLE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
39 BROWN HILL RD, BOW, NH 03304-4805
(603) 913-5048
Mailing address
195 MCGREGOR ST APT 116, MANCHESTER, NH 03102-3834
(603) 913-5048
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1167
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1167
NH BOARD OF LICENSED DIETITIANS
NH
Enumeration date
04/19/2021
Last updated
04/19/2021
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