Search › Missouri › 163WL0100X
Rosemary Boudreaux
NPI 1720323843 · on the registry since 2012 · sole proprietor
Practice
- Address
- 9549 E 57th Ter
Raytown, MO 64133 - Phone
- (816) 678-7825
- Fax
- (816) 353-2617
Registry record
- Primary taxonomy
- 163WL0100X
163WL0100X
- Licence states on file
- MO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-11-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri