Individual
DIEUDONNE NIYONSABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 PINE ST APT 1F, LEWISTON, ME 04240-6369
(207) 312-8232
Mailing address
315 PINE ST APT 1F, LEWISTON, ME 04240-6369
(207) 312-8232
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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