Mrs. Melissa A Johnson Boucher
Mrs. Melissa A Johnson Boucher is an Attendant Care Provider in Saint Augustine, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2023
Practice location Address checks out
1245 Ardmore StSaint Augustine, FL 32092-3441
Phone: (631) 374-9793
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Attendant Care Provider (primary) | Taxonomy 3747A0650X (FL) |
|---|
Record details
| NPI number | 1154027761 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 6, 2023 |
| Last updated in NPPES | February 6, 2023 |
| Certification date | February 5, 2023 |
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