STACEY MARIE BOUCHER

SAN DIEGO, CA
NPI1659854230
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95009319)
Enumeration Date2018-09-11
Last Update Date2022-11-18
Business Address
STACEY MARIE BOUCHER FNP
6195 LUSK BLVD STE 250
SAN DIEGO, CA 92121-3715
Phone number: 858-859-1188
Mailing Address
STACEY MARIE BOUCHER FNP
5717 PACIFIC CENTER BLVD STE 200
SAN DIEGO, CA 92121-4250
Phone number: 858-859-1188
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