Individual
SUSAN WALSH BOURGEOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2514 K ST NW APT 17, WASHINGTON, DC 20037-2011
(407) 575-1965
Mailing address
2514 K ST NW APT 17, WASHINGTON, DC 20037-2011
(407) 575-1965
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1052089
DC
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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