Individual
LEDOR FRIDAY TEEKATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1 COLLEGE CIR, BANGOR, ME 04401-2929
(207) 941-7000
Mailing address
7056 CONROE ML, SAN ANTONIO, TX 78253-5466
(515) 639-1677
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PI45586
ME
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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