Individual
MS. ELIZABETH LAURA STEVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12 STILLWATER AVE, BANGOR, ME 04401-3984
(207) 941-6550
Mailing address
14 DIAMOND MATCH RD, MILO, ME 04463-1756
(207) 941-6550
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DTR5532
ME
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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