Individual
MS. PAULA MARIE BOURASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4820 ASHEVILLE HWY, KNOXVILLE, TN 37914-4252
(548) 525-6995
Mailing address
4819 SKYLINE DR, KNOXVILLE, TN 37914-4216
(603) 533-8688
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
9594
TN
Other
Enumeration date
03/26/2022
Last updated
03/26/2022
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