Individual
SARAH FAYE MCKENNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102
(207) 662-0111
Mailing address
101 MONROE AVE, WESTBROOK, ME 04092-4020
(732) 688-4829
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA371
ME
Other
Enumeration date
04/07/2018
Last updated
07/13/2018
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