Individual
MARIA ENNAMORATI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
580 STORER MOUNTAIN RD, WALDOBORO, ME 04572-5515
(617) 595-9928
Mailing address
580 STORER MOUNTAIN RD, WALDOBORO, ME 04572-5515
(617) 595-9928
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1072
ME
Other
Enumeration date
07/03/2023
Last updated
07/03/2023
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