| NPI | 1053481747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MOUNTAIN Clinic COO Rdinator 207-768-3026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2009-09-30 |