Individual
PIPER NOELLA DESORCIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2693
(207) 283-0171
Mailing address
80 HICKS ST, PORTLAND, ME 04103-1130
(802) 893-7635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
05/22/2024
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