Jason David Boucher, LPN

NPI #1063839454 in Woonsocket, Rhode Island

Provider Information

NPI Number: 1063839454
Entity Type: Individual
Name: Jason David Boucher, LPN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Credential: LPN
Enumeration Date: Mar 24, 2014
Last Updated: Mar 24, 2014

Practice Location

Address: 1625 DIAMOND HILL RD
City: Woonsocket
State: Rhode Island
ZIP Code: 02895-1771
Phone: (401) 762-1511

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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Organizations

Provider Name	Specialty	City
Companion Care of Nursing Placement, Inc.	Adult Companion	Pawtucket	AI Deep Dive

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