Individual
MS. IRENE O SEGARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-3428
(207) 662-6783
Mailing address
22 BRAMHALL ST, PORTLAND, ME 04102-3134
(207) 662-3428
(207) 662-6783
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-837
ME
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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