Individual
EMILY JORDAN MALONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
59 BANGOR ST, HOULTON, ME 04730-1740
(207) 538-3700
Mailing address
59 BANGOR ST, HOULTON, ME 04730-1740
(207) 538-3700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
CNA61758
ME
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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