Individual
FAYE M MAIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
24 NEWTON ST, PORTLAND, ME 04103-1524
(207) 712-1794
Mailing address
24 NEWTON ST, PORTLAND, ME 04103-1524
(207) 712-1794
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
081380
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081380
CST
ME
Enumeration date
01/12/2007
Last updated
07/08/2007
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