Leslie Jean Boucherle, PA-C
NPI #1043793789 in Clemmons, North Carolina
Provider Information
- NPI Number
- 1043793789
- Entity Type
- Individual
- Name
- Leslie Jean Boucherle, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Sep 10, 2018
- Last Updated
- Apr 14, 2025
Practice Location
- Address
- 4740 COMMERCIAL PARK CT
- City
- Clemmons
- State
- North Carolina
- ZIP Code
- 27012-9387
- Phone
- (336) 245-9521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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