Individual
LEGRAND AMISI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 RIDGE RD, WESTBROOK, ME 04092-2521
(207) 210-9781
Mailing address
15 RIDGE RD, WESTBROOK, ME 04092-2521
(207) 210-9781
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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