Individual
MRS. MARY M HANNAFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
655 MAIN ST, SACO, ME 04072-1543
(207) 294-3100
(207) 286-3709
Mailing address
77 S HIRAM RD, HIRAM, ME 04041-3669
(207) 625-7786
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
47248
ME
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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