Individual
CLAIRE ESTHER BOUTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
170 SILVER MAPLE RDG UNIT 2, CHARLESTON, WV 25306-0106
(407) 484-4499
Mailing address
170 SILVER MAPLE RDG UNIT 2, CHARLESTON, WV 25306-0106
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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