Michele A Boutilier LHIS

NPI 1609062793 - Specialist - 174400000X

NPI Details
NPI 1609062793
Gender Female
Enumeration Date 09/21/2007
Last Updated 02/25/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
2400 N. CROATOAN HWY
SUITE G
KILL DEVIL HILLS NC, 27948, US
Phone (252) 441-2595
Fax (252) 441-2595
Business Location
128 ACORN LANE
POINT HARBOR NC, 27964, US
Phone (252) 441-2595
Fax (252) 441-2595
Toxanomy
Taxonomy Code 174400000X
License State North Carolina
License Number 1003
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According to our database, Mrs. Michele A Boutilier LHIS NPI is 1609062793, taxonomy code is 174400000X and license number is 1003, license state is located at North Carolina. Michele A Boutilier LHIS physically located at 2400 N. Croatoan Hwy, Kill Devil Hills NC, 27948. NPI Number Michele A Boutilier LHIS has the Individual type.

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1609062793 NPI number is provided on an as is basis without warranty of any kind. 1609062793 is maintained by the National Plan & Provider Enumeration System. The contents of Michele A Boutilier LHIS are for informational purposes only.