EMILY BLOSSOM

SOUTH PORTLAND, ME
NPI1275090292
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA2182)
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2019-02-26
Last Update Date2023-10-17
Business Address
EMILY BLOSSOM PA-C
230 WATERMAN DR
SOUTH PORTLAND, ME 04106-3635
Phone number: 207-358-3188
Mailing Address
EMILY BLOSSOM PA-C
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-706-3280