Jessica E Boucher
Technician, Personal Care Attendant in Marysville, MI. Individual provider (NPI-1).
NPI number1194907428
StatusActive
Last updated in NPPESNov 28, 2007
Details
- NPI
- 1194907428
- Entity type
- Individual (NPI-1)
- Name
- Jessica E Boucher
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 28, 2007
- Last updated
- Nov 28, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
1600 Gratiot BlvdMarysville, MI 48040-1145
Phone 810-388-1200
Mailing address
3992 Brookstone Pl#2
Port Huron, MI 48060-7834
Phone 810-388-1200
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All 250 Personal Care Attendant providers in Marysville · All 643 providers in Marysville
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