Amy Boudonck
NPI #1295385888 in East Saint Louis, Illinois
Provider Information
- NPI Number
- 1295385888
- Entity Type
- Individual
- Name
- Amy Boudonck
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Sep 16, 2019
- Last Updated
- Sep 16, 2019
Practice Location
- Address
- 1406 N 39TH ST
- City
- East Saint Louis
- State
- Illinois
- ZIP Code
- 62204-2431
- Phone
- (314) 482-3706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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