Individual
DAWN WRAY BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CD(DONA)
Contact information
Practice address
29614 67TH AVE CT S, ROY, WA 98580
(253) 905-5354
Mailing address
29614 67TH AVE CT S, ROY, WA 98580
(253) 905-5354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/05/2010
Last updated
02/05/2010
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