Individual
HEATHER L OUELLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
145 DON PASQUAL NW, LOS LUNAS, NM 87031-6601
(505) 865-4618
(505) 224-8727
Mailing address
145 DON PASQUAL NW, LOS LUNAS, NM 87031-6601
(505) 865-4618
(505) 224-8727
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD2011-0554
NM
Other
Enumeration date
04/07/2008
Last updated
11/16/2012
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