Individual
HILARY RAE BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
23 NORTH ST STE 4, PRESQUE ISLE, ME 04769-2295
(207) 768-4000
Mailing address
23 NORTH ST STE 4, PRESQUE ISLE, ME 04769-2295
(207) 768-4000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2274
ME
Other
Enumeration date
10/14/2021
Last updated
10/14/2021
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