Individual
DACIA MICHELLE BOUCHARD-HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1147 HARTNELL AVE, REDDING, CA 96002-2113
(530) 222-7213
Mailing address
21221 HACKETT LN, REDDING, CA 96003-7935
(415) 261-2271
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
705747
CA
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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