JACQUES RICHARD LAROCHELLE

PORTLAND, ME
NPI1780144980
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: NH  22741)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: ME  MD25324)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-03-22
Last Update Date2022-08-23
Business Address
JACQUES RICHARD LAROCHELLE
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-0111
Mailing Address
JACQUES RICHARD LAROCHELLE
2101 OHIO ST
BANGOR, ME 04401-2017
Phone number: 207-852-8007