Rebecca S Bourquine

NPI 1104927581 - Counselor - 101YP2500X

NPI Details
NPI 1104927581
Gender Female
Enumeration Date 09/26/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3120 N OAK STREET EXT
SUITE B
VALDOSTA GA, 31602-1007, US
Phone (229) 333-5218
Fax
Business Location
2892 FAWNWOOD CIR
VALDOSTA GA, 31602-4119, US
Phone (229) 249-0315
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number 004641
Remove 1104927581 NPI Number
 

According to our database, Rebecca S Bourquine NPI is 1104927581, taxonomy code is 101YP2500X and license number is 004641, license state is located at Georgia. Rebecca S Bourquine physically located at 3120 N Oak Street Ext, Valdosta GA, 31602-1007. NPI Number Rebecca S Bourquine has the Individual type.

Sponsored links

1104927581 NPI number is provided on an as is basis without warranty of any kind. 1104927581 is maintained by the National Plan & Provider Enumeration System. The contents of Rebecca S Bourquine are for informational purposes only.