Individual
JACLYN ELIZABETH OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1830 N ROLLING STONE DR, TUCSON, AZ 85745-3556
(520) 975-1872
Mailing address
1830 N ROLLING STONE DR, TUCSON, AZ 85745-3556
(520) 975-1872
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
FL
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
FL
Other
Enumeration date
06/21/2019
Last updated
06/21/2019
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