Individual
PAUL JEROME MENTAG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 BAILEY FARM RD, FREEPORT, ME 04032-5808
(207) 869-5833
Mailing address
17 BAILEY FARM RD, FREEPORT, ME 04032-5808
(207) 869-5833
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
01/21/2021
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