Individual
MOLLY SUE GALASYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
144 STATE ST, PORTLAND, ME 04101-3776
(078) 793-0002
Mailing address
182 FRENCH RD, DALTON, NH 03598-5113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PAN1947
ME
Other
Enumeration date
11/03/2018
Last updated
07/31/2019
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