Individual
CARLEY E MEJIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
4 SHAPE DR, KENNEBUNK, ME 04043-6601
(207) 467-8930
(207) 467-8969
Mailing address
9 HEALTHCARE DR, SUITE 201, BIDDEFORD, ME 04005-9449
(207) 282-9080
(207) 282-9180
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA001103
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432995099
—
ME
Enumeration date
08/06/2007
Last updated
01/13/2011
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