Jodi Brooks Maria Boutte, MS

NPI #1770108383 in Fate, Texas

Provider Information

NPI Number
1770108383
Entity Type
Individual
Name
Jodi Brooks Maria Boutte, MS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician - Attendant Care Provider
Credential
MS
Enumeration Date
Jun 9, 2020
Last Updated
Jun 9, 2020

Practice Location

Address
554 JAMESTOWN LN
City
Fate
State
Texas
ZIP Code
75189-5116
Phone
(337) 577-6298

Specialties & Taxonomy Codes

Specialty
Technician - Attendant Care ProviderAttendant Care Provider

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