ALISA BOUCHER

WATERFORD, MI
NPI1629740113
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133N00000X Nutritionist
Additional Taxonomies133NN1002X Nutritionist, Nutrition, Education
Enumeration Date2021-10-02
Last Update Date2021-10-02
Business Address
ALISA BOUCHER MS
4233 ISLAND PARK DR
WATERFORD, MI 48329-1916
Phone number: 248-468-6823
Mailing Address
ALISA BOUCHER MS
7111 DIXIE HWY STE 362
CLARKSTON, MI 48346-2077
Phone number: 248-468-6823
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