Individual
MRS. ELAINE B OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
69 MAIN ST, VAN BUREN, ME 04785-1028
(207) 868-5221
(207) 868-5222
Mailing address
69 MAIN ST, VAN BUREN, ME 04785-1028
(207) 868-5221
(207) 868-5222
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-134
ME
Other
Enumeration date
09/28/2007
Last updated
09/28/2007
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