ESMERALDA ANTONIA ULLOA

PORTLAND, ME
NPI1205479417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: ME  CNP191274)
Enumeration Date2019-10-21
Last Update Date2019-10-21
Business Address
ESMERALDA ANTONIA ULLOA
66 BRAMHALL ST STE G1
PORTLAND, ME 04102-3344
Phone number: 207-662-2841
Mailing Address
ESMERALDA ANTONIA ULLOA
76 FLORIDA AVE
PORTLAND, ME 04103-3810
Phone number: 207-939-8490