Individual
MARY KAY DEIGHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
55 BROADWAY, BANGOR, ME 04401-5201
(207) 947-5657
(207) 947-1894
Mailing address
55 BROADWAY, BANGOR, ME 04401-5201
(207) 947-5657
(207) 947-1894
Taxonomy
Speciality
Code
Description
License number
State
163WS0121X
Plastic Surgery Registered Nurse
Primary
025296
ME
Other
Enumeration date
09/16/2009
Last updated
09/16/2009
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