Individual
MARY A JERALDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
32 PATRIOTS LN, SANFORD, ME 04073-2552
(207) 490-6900
(207) 324-0546
Mailing address
PO BOX 72, SANFORD, ME 04073-0072
(207) 490-6900
(207) 324-0546
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R040165
ME
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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