JOHANNES JACK BARTLEY

PORTLAND, ME
NPI1194217281
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ME  RNA203060)
Enumeration Date2018-06-04
Last Update Date2022-02-09
Business Address
JOHANNES JACK BARTLEY
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 801-910-1089
Mailing Address
JOHANNES JACK BARTLEY
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number:
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