MS. Temica Donese Boutte, PA-C

NPI #1285795021 in Downey, California

Provider Information

NPI Number
1285795021
Entity Type
Individual
Name
MS. Temica Donese Boutte, PA-C
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant - Medical
Credential
PA-C
Enumeration Date
Dec 13, 2006
Last Updated
Jan 11, 2011

Practice Location

Address
8317 ALAMEDA ST
City
Downey
ZIP Code
90242-3629
Phone
(562) 861-4504

Specialties & Taxonomy Codes

Specialty
Physician Assistant - MedicalMedical

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