Individual
ROBYN ISAAC AQUILANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
400 WESTERN AVE, SOUTH PORTLAND, ME 04106-1704
(207) 405-0003
Mailing address
PO BOX 492, GARDINER, ME 04345-0492
(772) 924-8421
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN14707
ME
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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