Gina Bourque
NPI #1114700424 in Ravenswood, West Virginia
Provider Information
- NPI Number
- 1114700424
- Entity Type
- Individual
- Name
- Gina Bourque
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Technician - Personal Care Attendant
- Enumeration Date
- Aug 18, 2023
- Last Updated
- Aug 18, 2023
Practice Location
- Address
- 714 CYPRESS ST
- City
- Ravenswood
- State
- West Virginia
- ZIP Code
- 26164-1406
- Phone
- (304) 531-9542
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician - Personal Care Attendant — Personal Care Attendant |
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