Individual
CODY BOIVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2693
(207) 283-0171
Mailing address
9 PAUL AVE, WINDHAM, ME 04062-4173
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
05/24/2024
Last updated
05/24/2024
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