| NPI | 1215910765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MOUNTAIN Clinic COO Rdinator 207-768-3056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health |
| Enumeration Date | 2005-11-29 |
| Last Update Date | 2020-08-22 |