Individual
ALEXANDRA GROTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58 STATE ST, AUGUSTA, ME 04330-5124
(207) 623-5099
Mailing address
58 STATE ST, AUGUSTA, ME 04330-5124
(207) 623-5099
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT971
ME
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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