Individual
KARI LYNNE BOUFFARD-CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
712 S ARIES AVE, STAR, ID 83669-5091
(562) 412-4845
Mailing address
712 S ARIES AVE, STAR, ID 83669-5091
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/11/2026
Last updated
06/11/2026
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