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NPI Code Detail

MEDICARE: LIKESHIA YVETTE OUTTEN

MEDICARE: LIKESHIA YVETTE OUTTEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1227800000XCertified Respiratory Therapist

General Provider Information

NPI Number : 1861639593
Entity Type Code : Individual
Provider Name (Legal Business Name) : LIKESHIA YVETTE OUTTEN
Provider Business Mailing Address
First Line : 133 DRIFTWOOD AVE
Second Line :
City : ELGIN
State : SC
Zip : 29045-8547
Country : US
Telephone Number : 803-463-9003
Fax Number :
Provider Business Practice Location Address
First Line : 4401 BELLE OAKS DR
Second Line : SUITE 280
City : NORTH CHARLESTON
State : SC
Zip : 29405-8537
Country : US
Telephone Number : 866-571-2700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2009
Last Update Date : 07/05/2016

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Directions to “ LIKESHIA YVETTE OUTTEN ” Practice Location

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