person
Thomas Boucher, CNIM
Electroneurodiagnostic Specialist/Technologist in Rancho Cordova, California
NPI 1609140425

Thomas Boucher is a Electroneurodiagnostic Specialist/Technologist based in Rancho Cordova, CA and is specialized in Electroneurodiagnostic. Thomas Boucher practices in Rancho Cordova, CA and has the professional credentials of CNIM. The NPI Number for Thomas Boucher is 1609140425 and holds a License No. (California).

The current practice location address for Thomas Boucher is 11121 Sun Center Dr, Rancho Cordova, CA and can be reached out via phone at 916-631-0112.

Location: 11121 Sun Center Dr, Rancho Cordova, CA, 95670-6161
person
Provider Profile Details
NPI Number
1609140425
Provider Name
Thomas Boucher
Credential
CNIM
Provider Entity Type
Individual
Gender
Male
Address
11121 Sun Center Dr, Rancho Cordova, CA, 95670-6161
Phone Number
916-631-0112
Fax Number
Provider Enumeration Date
02/24/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2238 01 ABRET CNIM
institution
Provider Business Practice Location Address Details
Address
11121 Sun Center Dr
City
State
Zip
95670-6161
Phone Number
916-631-0112
Fax Number
person
Provider Business Mailing Address Details
Address
11121 Sun Center Dr
City
State
Zip
95670-6161
Phone Number
916-631-0112
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Specialist/Technologist, Other
Speciality
Electroneurodiagnostic
Taxonomy
License No.
()
Definition
Definition to come...
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