Individual
BRUCE LORNE RAYMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
160 PREBLE ST, PORTLAND, ME 04101-2426
(207) 523-9276
(888) 245-3952
Mailing address
160 PREBLE ST, PORTLAND, ME 04101-2426
(207) 523-9276
(888) 245-3952
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
RN79259
ME
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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