Mrs Eliette Yadira Bouie, PA-C | |
Gonzaga Interventional Pain Management, 957 National Hwy, Lavale, MD 21502-0001 | |
(240) 362-7128 | |
(240) 362-7731 |
Full Name | Mrs Eliette Yadira Bouie |
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Gender | Female |
Speciality | Pain Medicine - Pain Medicine |
Location | Gonzaga Interventional Pain Management, Lavale, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538132261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208VP0000X | Pain Medicine - Pain Medicine | C0003577 (Maryland) | Primary |
363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
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Mrs Eliette Yadira Bouie, PA-C 12356 Williamsport Pike, Greencastle, PA 17225-8436 Ph: (520) 395-5881 | Mrs Eliette Yadira Bouie, PA-C Gonzaga Interventional Pain Management, 957 National Hwy, Lavale, MD 21502-0001 Ph: (240) 362-7128 |