Individual
MR. BRENT T ROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
391 VARNUM AVE, LOWELL, MA 01854-2119
(978) 322-5018
(978) 322-5077
Mailing address
391 VARNUM AVE, LOWELL, MA 01854-2119
(978) 322-5018
(978) 322-5077
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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