Individual
ANDREA MARIE LAROCQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
194 MISSILE AVE, MINOT AFB, ND 58705-5003
(701) 723-5633
Mailing address
10 MISSILE AVE, MINOT, ND 58705-5003
(810) 441-9259
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/14/2024
Last updated
09/26/2025
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