DION DE KOK

PORTLAND, ME
NPI1164000485
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ME  LPN14399)
Enumeration Date2021-03-30
Last Update Date2021-03-30
Business Address
DION DE KOK LPN
2300 CONGRESS ST
PORTLAND, ME 04102-1908
Phone number: 207-221-2292
Mailing Address
DION DE KOK LPN
2300 CONGRESS ST
PORTLAND, ME 04102-1908
Phone number: 207-221-2292