Individual
MARGARETT J ROUNSAVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
90 BRACKETT ST, 1, PORTLAND, ME 04102-3823
(207) 772-1074
Mailing address
90 BRACKETT ST, 1, PORTLAND, ME 04102-3823
(207) 772-1074
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT3356
ME
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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