Individual
AMANDA BOUQUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AP
Contact information
Practice address
2892 CAREW AVE, WINTER PARK, FL 32789
(219) 730-3189
Mailing address
995 WESTWOOD SQ, SUITE A, OVIEDO, FL 32765-9049
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AP3417
FL
Other
Enumeration date
09/23/2014
Last updated
09/23/2014
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