Individual
MRS. SANDRA OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 MILL RD STE 120, FAIRHAVEN, MA 02719-5252
(508) 973-3200
(508) 973-3215
Mailing address
200 MILL RD STE 180, FAIRHAVEN, MA 02719-5255
(508) 973-2000
(508) 973-2001
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN200112
MA
Other
Enumeration date
02/24/2017
Last updated
04/23/2020
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