NICOLAS JACK BOUEY

SACRAMENTO, CA
NPI1770160780
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: CA  A194336)
Enumeration Date2021-03-25
Last Update Date2024-08-21
Business Address
NICOLAS JACK BOUEY
4301 X ST
SACRAMENTO, CA 95817-2214
Phone number: 916-734-2011
Mailing Address
NICOLAS JACK BOUEY
4301 X ST
SACRAMENTO, CA 95817-2214
Phone number: 916-734-2011
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