Individual
JEANETTE BERNARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
464 MAIN ST, SPRINGVALE, ME 04083-1818
(207) 324-1222
Mailing address
464 MAIN ST, SPRINGVALE, ME 04083-1818
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5956
ME
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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