Individual
DANA L VILLMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
INTERMED ONSITE AT IDEXX, 1 IDEXX DRIVE, WESTBROOK, ME 04092
(207) 556-6802
(207) 556-4434
Mailing address
100 GANNETT DRIVE, SUITE C, SOUTH PORTLAND, ME 04106
(207) 828-0361
(207) 874-1483
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1554
ME
Other
Enumeration date
07/22/2015
Last updated
12/18/2019
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