LATASHA CHANTELLA BOURQUE

LAFAYETTE, LA
NPI1457294886
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2026-04-10
Last Update Date2026-04-10
Business Address
LATASHA CHANTELLA BOURQUE BSN, RN
1214 COOLIDGE BLVD
LAFAYETTE, LA 70503-2621
Phone number: 337-289-7991
Mailing Address
LATASHA CHANTELLA BOURQUE BSN, RN
204 CASCADE WATER LN
BROUSSARD, LA 70518-5287
Phone number: 337-256-2375