Individual
LAUREN ELIZABETH CLARK-BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM, LM
Contact information
Practice address
10 N 28TH AVE, YAKIMA, WA 98902-2813
(802) 922-3101
Mailing address
10 N 28TH AVE, YAKIMA, WA 98902-2813
(802) 922-3101
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW61397406
WA
Other
Enumeration date
05/19/2021
Last updated
04/02/2024
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