Individual
AMY LYNN CORMIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 283-0170
Mailing address
718 STEVENS AVE, PORTLAND, ME 01403
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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