Individual
WANDA EDITH WHITE-OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
59 BANGOR ST, HOULTON, ME 04730-1740
(207) 538-3700
Mailing address
59 BANGOR ST, HOULTON, ME 04730-1740
(207) 532-3700
(207) 521-0066
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN62092
ME
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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