VANCE WORMWOOD

PORTLAND, ME
NPI1063453751
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ME  R019157)
Enumeration Date2006-06-10
Last Update Date2014-11-26
Business Address
-- VANCE WORMWOOD CRNA
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-7046
Mailing Address
-- VANCE WORMWOOD CRNA
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-7046
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