Individual
GLORIA PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 WILLOW ST, BATH, ME 04530-2719
(207) 442-8229
Mailing address
31 WILLOW ST, BATH, ME 04530-2719
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0601
VA
ME
Enumeration date
09/30/2019
Last updated
09/30/2019
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