Deambra Lea Boucher, O.D.
NPI #1972683746 in Independence, Missouri
Provider Information
- NPI Number
- 1972683746
- Entity Type
- Individual
- Name
- Deambra Lea Boucher, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Oct 16, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 13900 E US HIGHWAY 40 STE A
- City
- Independence
- State
- Missouri
- ZIP Code
- 64055-5877
- Phone
- (816) 478-0500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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