Individual
E YVONNE OUELLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
121 LIPMAN ST, SUMMERVILLE, SC 29483-3673
(843) 901-0182
(843) 875-7116
Mailing address
121 LIPMAN ST, SUMMERVILLE, SC 29483-3673
(843) 901-0182
(843) 875-7116
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4402
SC
Other
Enumeration date
07/21/2008
Last updated
01/09/2010
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