Individual
SANDRA JEAN GOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MANU.CERT.OF COMP.
Contact information
Practice address
364 MAINE MALL ROAD, #239, SOUTH PORTLAND, ME 04106
(207) 775-3668
(207) 784-6358
Mailing address
364 MAINE MALL ROAD, #239, SOUTH PORTLAND, ME 04106
(207) 775-3668
(207) 784-6358
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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