Individual
KATHLEEN SOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 221-4516
Mailing address
716 STEVENS AVE, PORTLAND, ME 04103-2656
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2275810
MA
390200000X
Student in an Organized Health Care Education/Training Program
RN67254
ME
Other
Enumeration date
06/02/2016
Last updated
05/08/2019
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