ALEXANDRA BOURSIQUOT

HYATTSVILLE, MD
NPI1245752278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R226935)
Additional Taxonomies163W00000X Registered Nurse
(Licence: DC  RN1044797)
Enumeration Date2017-07-11
Last Update Date2024-05-10
Business Address
ALEXANDRA BOURSIQUOT
4206 75TH AVE
HYATTSVILLE, MD 20784-2318
Phone number: 240-413-1255
Mailing Address
ALEXANDRA BOURSIQUOT
4206 75TH AVE
HYATTSVILLE, MD 20784-2318
Phone number: 240-413-1255