| NPI | 1063167666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY ARZOLA Assistant Office Manager 207-370-8205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice |
| Additional Taxonomies | 163W00000X Registered Nurse |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2022-09-28 |