Individual
QUTAIBA HASSOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
26 BANCROFT ST, PORTLAND, ME 04102-2006
(207) 409-9196
Mailing address
26 BANCROFT ST, PORTLAND, ME 04102-2006
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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