Individual
SANDRA ILAKA-CHIBULUZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
133 CORPORATE DR, BANGOR, ME 04401-4312
(917) 330-7775
Mailing address
133 CORPORATE DR, BANGOR, ME 04401-4312
(207) 275-4201
(207) 275-4262
Taxonomy
Speciality
Code
Description
License number
State
2080P0205X
Pediatric Endocrinology Physician
Primary
MD24195
ME
Other
Enumeration date
07/27/2015
Last updated
02/03/2022
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