Individual
ANTOINETTE SMOTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
26 FOREST AVE, PORTLAND, ME 04101-2812
(207) 274-8069
Mailing address
26 FOREST AVE, PORTLAND, ME 04101-2812
(207) 274-8069
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/07/2019
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