Individual
LINDA L BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
597 MAIN ST, SOUTH PORTLAND, ME 04106-5412
(207) 767-1700
Mailing address
597 MAIN ST, SOUTH PORTLAND, ME 04106-5412
(207) 767-1700
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
MT2921
ME
174400000X
Specialist
Primary
MT2921
ME
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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