Individual
JASON MICHAEL CHRETIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
219 CAPITOL ST, SUITE 2, AUGUSTA, ME 04330-6235
(207) 529-5005
Mailing address
10 PEARL ST, BATH, ME 04530-2713
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA-863
ME
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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