KRISTEN BOURQUE

INDIANAPOLIS, IN
NPI1881083699
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: IL  164.007743)
Additional Taxonomies133V00000X Dietitian, Registered
(Licence: NV  32149DI-0)
Enumeration Date2015-01-16
Last Update Date2021-12-15
Business Address
Miss KRISTEN BOURQUE RD, LD, CLC
9115 HAGUE RD
INDIANAPOLIS, IN 46256-1025
Phone number: 317-521-2000
Mailing Address
Miss KRISTEN BOURQUE RD, LD, CLC
7408 W PALATINE AVE
CHICAGO, IL 60631-1920
Phone number: 702-250-7901