Individual
BRENDA PAIGE MANSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
60 CHAMBERLAIN RD, SCARBOROUGH, ME 04074-9192
(072) 653-5571
Mailing address
60 CHAMBERLAIN RD, SCARBOROUGH, ME 04074-9192
(072) 653-5571
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
Primary
RN65814
ME
Other
Enumeration date
05/24/2023
Last updated
05/24/2023
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