Individual
MS. VALERIE L POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
43 W MAIN ST, DONALD WALKER HEALTH CENTER, LIBERTY, ME 04949-3400
(207) 589-4509
Mailing address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 589-4509
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-373
ME
363AM0700X
Medical Physician Assistant
PA142
ME
Other
Enumeration date
09/13/2006
Last updated
09/16/2015
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