Individual
MS. MARY PICAVET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3 ARBOR WOODS RD, RAYMOND, ME 04071-6528
(207) 655-5164
Mailing address
3 ARBOR WOODS RD, RAYMOND, ME 04071-6528
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
433645000
MAINE CARE NUMBER
ME
Enumeration date
11/16/2009
Last updated
11/16/2009
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