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Individual

ANNIE M RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
20 PORTLAND ST, PORTLAND, ME 04101-2912
(207) 874-8445
(207) 874-8975
Mailing address
389 CONGRESS ST, ROOM 307, PORTLAND, ME 04101-3566
(207) 874-8784
(207) 874-8913

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA1428
ME
363AM0700X
Medical Physician Assistant
Primary
PA1428
ME

Other

Enumeration date
10/29/2013
Last updated
06/03/2022
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