Individual
MRS. RACHEL LOUISE SANTOSUOSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18 BELMONT AVE, BANGOR, ME 04915
(207) 607-5270
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
10989
GA
363A00000X
Physician Assistant
Primary
PA1646
ME
363A00000X
Physician Assistant
PA1890
NH
363A00000X
Physician Assistant
PA8967
MA
Other
Enumeration date
08/13/2014
Last updated
12/28/2023
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