Organization
STICKMAN DIALYSIS INDUSTRIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEAN CLERMONT (PRESIDENT)
(207) 985-1717
Entity
Organization
Contact information
Practice address
2210 PORTLAND RD, ARUNDEL, ME 04046-7930
(207) 985-1717
(207) 985-1718
Mailing address
PO BOX 415, KENNEBUNK, ME 04043-0415
(207) 985-1717
(207) 985-1718
Taxonomy
Speciality
Code
Description
License number
State
332BD1200X
Dialysis Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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