Raquel Lyn Bosacker, LPN Valid NPI

Individual provider · Licensed Practical Nurse · Fergus Falls, MN

NPI

1003028648

Type

Individual (Type 1)

Primary specialty

Licensed Practical Nurse

Specialty group

Nursing Service Providers

Taxonomy code

164W00000X

License number

L0574073 (MN)

Sex

Female

Sole proprietor

No

Enumerated

2007-05-04

Last updated

2007-07-08