Individual
MOHAMED ALI ELATTAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
225 MADISON AVE, SKOWHEGAN, ME 04976-2054
(207) 474-2525
Mailing address
28 QUARRY RD APT 13, WATERVILLE, ME 04901-4966
(207) 423-6195
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR5884
ME
Other
Enumeration date
08/08/2010
Last updated
08/08/2010
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