Individual
KAREN BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
105 LOUDON RD BLDG 3, CONCORD, NH 03301-5600
(603) 226-7505
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
003868-22
NH
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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