Individual
MOHAMED AHMED GURHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
804 WASHINGTON AVE, PORTLAND, ME 04103-2732
(207) 409-4217
Mailing address
804 WASHINGTON AVE, PORTLAND, ME 04103
(207) 409-4217
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
5191
ME
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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