MRS. MELISSA JOHNSON BOUCHER

Technician - Attendant Care Provider

Active Individual
NPI: 1154027761

Practice Address

1245 ARDMORE ST
Saint Augustine, FL 32092

Phone: (631) 374-9793

Specialties

Specialty Code Primary License
Technician - Attendant Care Provider 3747A0650X Yes -

Frequently Asked Questions

NPI 1154027761 is the National Provider Identifier for MRS. MELISSA JOHNSON BOUCHER, a Technician - Attendant Care Provider provider located in Saint Augustine, FL. This NPI was enumerated on February 6, 2023.
MRS. MELISSA JOHNSON BOUCHER practices at 1245 ARDMORE ST, Saint Augustine, FL 32092.

Quick Facts

NPI
1154027761
Type
Individual
Enumerated
Feb 6, 2023
Last Updated
Feb 6, 2023

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