Individual
MR. DEO NTIYANKUNDIYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6 SANCHO DRIVE, SACO,, ME 04072-0410
(207) 332-0119
Mailing address
10 RED OAK DR APT 2D, SOUTH PORTLAND, ME 04106-2092
(207) 332-0119
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
ME
374U00000X
Home Health Aide
Primary
—
ME
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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