Cathleen Constance Bourque, RDH

NPI #1922739747 in Plummer, Idaho

Provider Information

NPI Number: 1922739747
Entity Type: Individual
Name: Cathleen Constance Bourque, RDH
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Hygienist
Credential: RDH
Enumeration Date: Jun 22, 2022
Last Updated: Jun 22, 2022

Practice Location

Address: 427 12TH ST
City: Plummer
State: Idaho
ZIP Code: 83851-4000
Phone: (208) 686-1931

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X	Primary

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