Individual
MISS FERNANDA FONSECA MENDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
464 MAIN ST, SPRINGVALE, ME 04083-1818
(207) 324-1222
Mailing address
51 MARKET ST, SOUTH PORTLAND, ME 04106-3617
(207) 799-2261
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5506
ME
Other
Enumeration date
06/30/2008
Last updated
07/22/2009
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