Individual
MELISSA OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9300 DEWITT LOOP, FORT BELVOIR, VA 22060-5285
(571) 231-3224
Mailing address
437 RIVERBIRCH DR, VASS, NC 28394-9551
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
006984
NC
207L00000X
Anesthesiology Physician
962382
TX
Other
Enumeration date
08/23/2019
Last updated
08/06/2023
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