Individual
COURTNEY PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 UNION ST, BANGOR, ME 04401-3012
(207) 945-3772
Mailing address
3 HATHAWAY RD, EAST MILLINOCKET, ME 04430-1270
(207) 746-9076
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/23/2018
Last updated
08/23/2018
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