MICHELLE LYNNE BOULTON

WATERTOWN, NY
NPI1336167709
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  011070-1)
Additional Taxonomies363AS0400X Physician Assistant, Surgical
(Licence: NY  011070-1)
Enumeration Date2006-07-17
Last Update Date2020-09-29
Business Address
Ms. MICHELLE LYNNE BOULTON RPA-C
171 E. HOARD STREET
WATERTOWN, NY 13601-1515
Phone number: 315-786-1767
Mailing Address
Ms. MICHELLE LYNNE BOULTON RPA-C
238 ARSENAL STREET
WATERTOWN, NY 13601-2504
Phone number: 315-782-9450