Individual
MRS. REBECCA ANN BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3799 HALF MOON LAKE RD, HARRISON, MI 48625-8840
(989) 418-6841
Mailing address
3799 HALF MOON LAKE RD, HARRISON, MI 48625-8840
(989) 418-6841
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/09/2024
Last updated
04/09/2024
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