Individual
MRS. AMANDA LEE MIZERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6795
(207) 623-8411
Mailing address
831 BANTON RD, PALERMO, ME 04354-6529
(207) 242-5363
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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