Individual
GILLIAN E BOUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT
Contact information
Practice address
6949 KASSONTA DR, JAMESVILLE, NY 13078-9646
(808) 346-0243
Mailing address
6949 KASSONTA DR, JAMESVILLE, NY 13078-9646
(808) 346-0243
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
22 661976
NY
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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