Individual
JANESSA MAURICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 MAIN ST, SACO, ME 04072-1699
(207) 603-3571
Mailing address
125 HARRIS AVE, PORTLAND, ME 04103-1532
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
CNP221520
ME
Other
Enumeration date
04/07/2023
Last updated
04/08/2023
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