Charlene M Couillard, PA

NPI #1255329678 in Lehigh Acres, Florida

Provider Information

NPI Number: 1255329678
Entity Type: Individual
Name: Charlene M Couillard, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Oct 10, 2005
Last Updated: Apr 14, 2014

Practice Location

Address: 60 WESTMINSTER ST N
Address 2: SUITE A
City: Lehigh Acres
State: Florida
ZIP Code: 33936-6518
Phone: (239) 368-1808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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