Individual provider · Type 1 NPI
Temica Donese Boutte, PA-C
Medical Physician Assistant · Downey, CA
NPI number
1285795021
Active
Practice location
8317 Alameda St
Downey, CA 90242-3629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA15678 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1285795021
Temica Donese Boutte, PA-C's National Provider Identifier is 1285795021, issued on Dec 13, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Downey, CA. The record was last updated on Jan 11, 2011.