Individual
DEJA OUTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
37 W FREDERICK ST, MILLERSVILLE, PA 17551-1909
(484) 252-6447
Mailing address
40 DILWORTH ROAD, MILLERSVILLE, PA 17551
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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