Mr. Randy Roland Boucher, IDC
Mr. Randy Roland Boucher, IDC is an Independent Duty Corpsman in Portsmouth, Virginia. Registered with an NPI since 2008.
- In the registry since
- 2008
Practice location Address checks out
620 John Paul Jones CirPortsmouth, VA 23708-2111
Phone: (757) 953-5080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Independent Duty Corpsman (primary) | Taxonomy 1710I1002X |
|---|
Record details
| NPI number | 1356500938 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | IDC |
| Sole proprietor | No |
| NPI enumerated | June 9, 2008 |
| Last updated in NPPES | June 9, 2008 |
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Mr. Agustin Delarosa
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