Individual
RICHARD CHRISTOPHER MALO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-2526
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA233048
ME
Other
Enumeration date
05/25/2021
Last updated
10/30/2023
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