Individual
JESSA DERANIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 248-0097
(207) 248-0094
Mailing address
35 MEDICAL CENTER PKWY, AUGUSTA, ME 04330-8160
(207) 248-0097
(207) 248-0094
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
DO3191
ME
208D00000X
General Practice Physician
313286
LA
Other
Enumeration date
06/08/2016
Last updated
08/06/2021
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