Individual
DR. KRISTINA MARIE DEAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
787 RIVERSIDE ST, PORTLAND, ME 04103-1084
(207) 878-0191
Mailing address
306 PARK RD, WESTBROOK, ME 04092-3142
(978) 979-5599
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR71419
ME
Other
Enumeration date
06/27/2023
Last updated
06/27/2023
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