Individual
MISS JANE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
404 STATE ST, BANGOR, ME 04401-6623
(207) 990-0928
(207) 945-4354
Mailing address
404 STATE ST, BANGOR, ME 04401-6623
(207) 990-0928
(207) 945-4354
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
R012370
ME
Other
Enumeration date
08/12/2006
Last updated
07/08/2007
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