Individual
CLAIRE BOETTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2627 RIVERSIDE AVENUE, JACKSONVILLE, FL 32204
(904) 308-7372
Mailing address
2627 RIVERSIDE AVENUE, JACKSONVILLE, FL 32204
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
TRN40187
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2024
Last updated
07/09/2024
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