MRS. Eliette Yadira Bouie, PA-C

NPI #1538132261 in Lavale, Maryland

Provider Information

NPI Number: 1538132261
Entity Type: Individual
Name: MRS. Eliette Yadira Bouie, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pain Medicine - Pain Medicine
Credential: PA-C
Enumeration Date: Feb 13, 2006
Last Updated: Nov 26, 2024

Practice Location

Address: GONZAGA INTERVENTIONAL PAIN MANAGEMENT
Address 2: 957 NATIONAL HWY
City: Lavale
State: Maryland
ZIP Code: 21502-0001
Phone: (240) 362-7128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pain Medicine - Pain Medicine — Pain Medicine	208VP0000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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