Individual
DIANN JANE GIROUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 RAM LIGHT LN, CAPE ELIZABETH, ME 04107-2729
(207) 321-9669
Mailing address
3 RAM LIGHT LN, CAPE ELIZABETH, ME 04107-2729
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4291
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PR4291
STATE LICENSE
ME
Enumeration date
12/02/2020
Last updated
12/02/2020
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