Individual
MRS. KATHLEEN ANN COWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
1200 MAIN STREET, SANFORD, ME 04073
(207) 324-4611
Mailing address
1200 MAIN STREET, SANFORD, ME 04073
(207) 324-4611
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DTR5527
ME
Other
Enumeration date
10/07/2016
Last updated
10/07/2016
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