Individual
BLANDINA CHITALAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
342 WOODFORD ST UNIT 1, PORTLAND, ME 04103-5608
(207) 409-4755
Mailing address
342 WOODFORD ST UNIT 1, PORTLAND, ME 04103-5608
(207) 409-4755
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
ME
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/05/2019
Last updated
10/05/2019
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