Individual
MISS ENAS WATHEQ ALSHAMI I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 PROSPECT ST # 2, BIDDEFORD, ME 04005-3624
(207) 450-6550
Mailing address
109 PROSPECT ST # 2, BIDDEFORD, ME 04005-3624
(207) 450-6550
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
ME
Other
Enumeration date
05/17/2022
Last updated
05/17/2022
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