SUSAN ANN RAQUE

LOUISVILLE, KY
NPI1871248179
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171000000X Military Health Care Provider
(Licence: KY  1082389)
Enumeration Date2022-02-15
Last Update Date2022-02-15
Business Address
SUSAN ANN RAQUE
1700 CARGO CT
LOUISVILLE, KY 40299-1938
Phone number: 800-805-6989
Mailing Address
SUSAN ANN RAQUE
1700 CARGO CT
LOUISVILLE, KY 40299-1938
Phone number: 800-805-6989