Individual
ROSEMARY BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9549 E 57TH TER, RAYTOWN, MO 64133-3395
(816) 678-7825
(816) 353-2617
Mailing address
9549 E 57TH TER, RAYTOWN, MO 64133-3395
(816) 678-7825
(816) 353-2617
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
Primary
163WL0100X
MO
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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