Individual
JODI E RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
13 INDUSTRIAL PARK RD, SACO, ME 04072-1804
(207) 283-8800
(207) 294-3562
Mailing address
13 INDUSTRIAL PARK RD, SACO, ME 04072-1804
(207) 283-8800
(207) 294-3662
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 164
ME
Other
Enumeration date
07/25/2006
Last updated
09/30/2022
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