Individual
MR. JEROME ALAN DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
131 FOURTH STREET, OLD TOWN, ME 04468-1333
(207) 827-4735
Mailing address
131 FOURTH STREET, OLD TOWN, ME 04468-1333
(207) 827-4735
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
3001964
ME
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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