TAMARA SOLANGE BOUCHER

PHILADELPHIA, PA
NPI1578728275
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: PA  MA052120)
Enumeration Date2008-07-22
Last Update Date2022-07-21
Business Address
-- TAMARA SOLANGE BOUCHER PA-C
3509 N BROAD ST
PHILADELPHIA, PA 19140-4105
Phone number: 215-707-8484
Mailing Address
-- TAMARA SOLANGE BOUCHER PA-C
2450 W HUNTING PARK AVE
PHILADELPHIA, PA 19129-1302
Phone number: 215-707-8484
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