Alison Ann Boudreaux M.D.

NPI 1093782120 - Dermatology - 207N00000X

NPI Details
NPI 1093782120
Gender Female
Enumeration Date 03/07/2006
Last Updated 04/18/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
2625 FAIR OAKS BLVD
SUITE 1
SACRAMENTO CA, 95864-4936, US
Phone (916) 646-3376
Fax (916) 646-3336
Business Location
2625 FAIR OAKS BLVD
SUITE 1
SACRAMENTO CA, 95864-4936, US
Phone (916) 646-3376
Fax (916) 646-3336
Toxanomy
Taxonomy Code 207N00000X
License State California
License Number G076779
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According to our database, Alison Ann Boudreaux M.D. NPI is 1093782120, taxonomy code is 207N00000X and license number is G076779, license state is located at California. Alison Ann Boudreaux M.D. physically located at 2625 Fair Oaks Blvd, Sacramento CA, 95864-4936. NPI Number Alison Ann Boudreaux M.D. has the Individual type.

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1093782120 NPI number is provided on an as is basis without warranty of any kind. 1093782120 is maintained by the National Plan & Provider Enumeration System. The contents of Alison Ann Boudreaux M.D. are for informational purposes only.