Individual
ROSIE MARIE GOURDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
2046 KINGS RD, EAGAN, MN 55122-2319
(551) 226-2127
Mailing address
2046 KINGS RD, EAGAN, MN 55122-2319
(551) 226-2127
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
890779
MN
Other
Enumeration date
05/27/2021
Last updated
05/27/2021
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