Individual
GLORIA J HARGREAVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST/CFA
Contact information
Practice address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 778-9001
(207) 779-2913
Mailing address
111 FRANKLIN HEALTH CMNS, FARMINGTON, ME 04938-6144
(207) 778-9001
(207) 779-2913
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
116715
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116715
CERTIFIED SURGICAL TECHNOLOGIST/CERTIFIED FIRST ASSIST
ME
Enumeration date
11/11/2009
Last updated
11/11/2009
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