Individual
ISABELLE M BOUCHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
9601 NE BARRY RD STE 201, KANSAS CITY, MO 64158-1124
(573) 356-5261
Mailing address
9601 NE BARRY RD STE 201, KANSAS CITY, MO 64158-1124
(573) 356-5261
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
MO
Other
Enumeration date
09/19/2018
Last updated
09/19/2018
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