Jefferson L Boulet, PAC
NPI #1740274745 in Buckley, Washington
Provider Information
- NPI Number
- 1740274745
- Entity Type
- Individual
- Name
- Jefferson L Boulet, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Credential
- PAC
- Enumeration Date
- Sep 6, 2005
- Last Updated
- Mar 7, 2023
Practice Location
- Address
- 305 N RIVER AVE
- City
- Buckley
- State
- Washington
- ZIP Code
- 98321-8978
- Phone
- (360) 829-0625
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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