Individual
PRECIOUS SHENANDOAH DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
331 MAINE ST, SUITE 23, BRUNSWICK, ME 04011-3358
(207) 729-0134
(207) 729-6626
Mailing address
331 MAINE ST, SUITE 23, BRUNSWICK, ME 04011-3358
(207) 729-0134
(207) 729-6626
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
017412
NY
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
12/27/2013
Last updated
01/16/2016
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