Individual
ANTHONY ZAMBRANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
77 UNION ST, ELLSWORTH, ME 04605-1537
(207) 667-7464
Mailing address
356 RANGE RD, ATKINSON, ME 04426-6001
(207) 664-8343
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
LS6427
ME
Other
Enumeration date
04/18/2014
Last updated
04/18/2014
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