Individual
MRS. PATRICIA A BOUCHER-FORTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
49 HILLSIDE ST, FALL RIVER, MA 02720-5211
(508) 235-7265
Mailing address
78 MOUNT FAIR CIR, SWANSEA, MA 02777-1026
(508) 672-8187
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32038
MA
Other
Enumeration date
02/22/2007
Last updated
07/08/2007
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