Individual
DANIELLE MARIE ST ONGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
78 RIDGEWOOD DR, BANGOR, ME 04401-2652
(207) 307-8904
(207) 307-8914
Mailing address
404 STATE ST, SUITE #610, BANGOR, ME 04401-6623
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1378
ME
Other
Enumeration date
02/22/2013
Last updated
08/06/2021
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