Individual
RACHEL BOURQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2655 ASHMUN ST, SAULT SAINTE MARIE, MI 49783-3711
(906) 632-9809
Mailing address
97 S 4TH ST, ISHPEMING, MI 49849-2168
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703105829
MI
Other
Enumeration date
11/08/2023
Last updated
11/08/2023
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