Individual
KRISTINA BOGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16108 ANDERSON RD, PECATONICA, IL 61063-9047
(865) 201-7539
Mailing address
16108 ANDERSON RD, PECATONICA, IL 61063-9047
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
08/30/2023
Last updated
08/30/2023
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