MRS. Teresa Lynn Bouchard

NPI #1245860568 in Frankfort, New York

Provider Information

NPI Number
1245860568
Entity Type
Individual
Name
MRS. Teresa Lynn Bouchard
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist
Enumeration Date
Jan 26, 2020
Last Updated
Jan 26, 2020

Practice Location

Address
325 FIFTH AVENUE
ZIP Code
13340
Phone
(315) 717-7442

Specialties & Taxonomy Codes

Specialty
Specialist

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