Individual
MR. RANDY JOHN BOUCHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1026 S SUNNYVALE LN, UNIT D, MADISON, WI 53713-3371
(608) 276-6082
Mailing address
1026 S SUNNYVALE LN, UNIT D, MADISON, WI 53713-3371
(608) 276-6082
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
167379-030
WI
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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