Individual
MARY ELLEN BANASZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
124 LANCASTER RD, CANAAN, ME 04924-3136
(207) 561-0626
Mailing address
124 LANCASTER RD, CANAAN, ME 04924-3136
(207) 561-0626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN22588
ME
Other
Enumeration date
11/06/2016
Last updated
11/06/2016
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