Individual
HEATHER R TENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
710 MAIN ST, LEWISTON, ME 04240-5801
(207) 783-1449
(207) 777-3865
Mailing address
710 MAIN ST, LEWISTON, ME 04240-5801
(207) 783-1449
(207) 777-3865
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA310
ME
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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