Individual
SASHA THIVIERGE-BONNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
211 MAIN ST, WATERVILLE, ME 04901-6117
(207) 877-3400
(207) 877-3401
Mailing address
10 WATER ST, WATERVILLE, ME 04901-6559
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/26/2017
Last updated
07/26/2017
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