Individual
MR. PATRON NKURUNZIZA BAZOZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
586 WESTBROOK ST, SOUTH PORTLAND, ME 04106-1400
(325) 518-5324
Mailing address
586 WESTBROOK ST UNIT 407, SOUTH PORTLAND, ME 04106-1405
(325) 518-5324
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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