Individual
JADE MANGIAFICO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-0111
Mailing address
12 HIGH ST, LEWISTON, ME 04240-7676
(207) 795-5770
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
CNM222013
ME
Other
Enumeration date
12/15/2022
Last updated
11/09/2023
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