Individual
ALEXANDRE BUIO MAVUNGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
54 HILLCREST AVE, SOUTH PORTLAND, ME 04106-6821
(207) 245-8881
Mailing address
54 HILLCREST AVE, SOUTH PORTLAND, ME 04106-6821
(207) 245-8881
(207) 245-8881
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
8644349
ME
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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