Individual
JOYCE AILEEN EBERSOLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
285 HOPKINS POND RD, CLIFTON, ME 04428-6195
(207) 843-5626
Mailing address
285 HOPKINS POND RD, CLIFTON, ME 04428-6195
(207) 843-5626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RO27935
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432341900
—
ME
Enumeration date
07/14/2009
Last updated
07/14/2009
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