Individual
KELLY BOUSCAREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRT
Contact information
Practice address
732 CINDY LN, WESTMINSTER, MD 21157-7656
(443) 834-9751
Mailing address
732 CINDY LN, WESTMINSTER, MD 21157-7656
(443) 834-9751
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
L02913
MD
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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