Individual
MR. SIMBARASHE MATOI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MB BCH BAO
Contact information
Practice address
22 BRAMHALL STREET, PORTLAND, ME 04102
(207) 662-0111
Mailing address
58 THIRLMERE AVENUE, SOUTH PORTLAND, ME 04106
(207) 245-5304
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
EC221082
ME
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/29/2022
Last updated
02/15/2023
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