Erica Boucher

NPI #1760980700 in Lapeer, Michigan

Provider Information

NPI Number: 1760980700
Entity Type: Individual
Name: Erica Boucher
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Technician
Enumeration Date: Jan 24, 2018
Last Updated: Jan 24, 2018

Practice Location

Address: 110 N SAGINAW ST
City: Lapeer
State: Michigan
ZIP Code: 48446-4600
Phone: (810) 535-5587

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician	374700000X	Primary

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