Individual
PATRICE AIME NYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
201 HUSSON AVE APT U12, BANGOR, ME 04401-3168
(240) 646-4263
Mailing address
201 HUSSON AVE APT U12, BANGOR, ME 04401-3168
(240) 646-4263
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PI12641
ME
Other
Enumeration date
07/02/2012
Last updated
04/21/2016
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