Individual
CHARMAINE SILVEIRA DA GRACA COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 E CHESTNUT ST, AUGUSTA, ME 04330-5736
(207) 626-1561
(207) 626-1849
Mailing address
15 E CHESTNUT ST, AUGUSTA, ME 04330-5736
(207) 626-1561
(207) 626-1849
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
EC141103
ME
Other
Enumeration date
07/17/2014
Last updated
11/04/2014
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