Individual
ELIZA LEONES BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
501 THE CITY DRIVE, ORANGE, CA 92868
(714) 935-6940
Mailing address
806 S SHAWNEE DR, SANTA ANA, CA 92704-1555
(714) 624-4433
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN595284
CA
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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