MICHELLE BOUCHER

ORANGE, CA
NPI1750337895
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: CA  PA15464)
Enumeration Date2006-05-26
Last Update Date2007-07-08
Business Address
-- MICHELLE BOUCHER PA
200 S MANCHESTER AVE SUITE #300
ORANGE, CA 92868-3217
Phone number: 714-456-3856
Mailing Address
-- MICHELLE BOUCHER PA
200 S MANCHESTER AVE SUITE # 300
ORANGE, CA 92868-3217
Phone number: 714-456-3856