BRAD W MENNEALY

LEWISTON, ME
NPI1194093047
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ME  RN53577)
Enumeration Date2011-12-07
Last Update Date2011-12-07
Business Address
-- BRAD W MENNEALY CRNA
300 MAIN ST
LEWISTON, ME 04240-7027
Phone number: 207-795-0111
Mailing Address
-- BRAD W MENNEALY CRNA
300 MAIN ST
LEWISTON, ME 04240-7027
Phone number: 207-795-0111
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