Individual
MRS. MADELINE N OUTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
202 LAB CT, MONCKS CORNER, SC 29461-7444
(720) 878-8758
Mailing address
202 LAB CT, MONCKS CORNER, SC 29461-7444
(720) 878-8758
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
225641
SC
Other
Enumeration date
04/04/2016
Last updated
05/01/2024
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