Individual
BRITTANY COUSINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
14 VISTA DR STE 200, GORHAM, ME 04038-5884
(207) 729-8474
Mailing address
14 VISTA DR STE 200, GORHAM, ME 04038-5884
(207) 729-8474
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1102
ME
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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