Individual
JENNIFER K ARICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 BRAMHALL ST, DEPT OF SURGERY, PORTLAND, ME 04102-3134
(207) 662-4078
(207) 662-6389
Mailing address
22 BRAMHALL ST, DEPT OF SURGERY, PORTLAND, ME 04102-3134
(207) 662-4078
(207) 662-6389
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
PA001152
ME
363AS0400X
Surgical Physician Assistant
Primary
PA1152
ME
Other
Enumeration date
02/13/2009
Last updated
04/04/2024
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