Individual
SONYA JUSTUS MCNAMARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
195 FORE RIVER PKWY, SUITE 490, PORTLAND, ME 04102-2780
(207) 553-6054
(207) 553-6076
Mailing address
195 FORE RIVER PKWY, SUITE 490, PORTLAND, ME 04102-2780
(207) 553-6054
(207) 553-6076
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
0783
NH
363AM0700X
Medical Physician Assistant
AP1899
MA
363AM0700X
Medical Physician Assistant
Primary
PA001140
ME
Other
Enumeration date
03/24/2006
Last updated
12/27/2013
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