Individual
LIA O ANGELINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
484 MAINE AVE STE 2D, FARMINGDALE, ME 04344-2903
(207) 582-2323
(207) 588-0294
Mailing address
484 MAINE AVE STE 2D, FARMINGDALE, ME 04344-2903
(207) 582-2323
(207) 588-0294
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT1762
ME
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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