Individual
MRS. ANDREA LYNN BOUCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN REGISTERED NURSE
Contact information
Practice address
10272 MELODY RD, BIG OAK VALLEY, CA 95977-9536
(530) 446-4600
Mailing address
10272 MELODY RD, BIG OAK VALLEY, CA 95977-9536
(530) 446-4600
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
528131
CA
Other
Enumeration date
11/09/2006
Last updated
12/10/2024
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