Individual
ALYSSA MAE GUNVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
12 HIGH ST STE 401, LEWISTON, ME 04240-7690
(207) 795-5767
Mailing address
PO BOX 551, BRIDGTON, ME 04009-0551
(781) 974-6600
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA1974
ME
Other
Enumeration date
07/27/2019
Last updated
07/27/2019
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