Individual
ANDREA BOUSHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
422 N 4TH ST APT 1, GRAND FORKS, ND 58203-3514
(701) 303-0118
Mailing address
422 N 4TH ST APT 1, GRAND FORKS, ND 58203-3514
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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