PATRON NKURUNZIZA BAZOZA

SOUTH PORTLAND, ME
NPI1285408138
Former NameGEDEON NGABIRE BAZOZA
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TM1800X Psychologist, Intellectual & Developmental Disabilities
Enumeration Date2023-11-10
Last Update Date2023-11-10
Business Address
Mr. PATRON NKURUNZIZA BAZOZA MD
586 WESTBROOK ST
SOUTH PORTLAND, ME 04106-1400
Phone number: 325-518-5324
Mailing Address
Mr. PATRON NKURUNZIZA BAZOZA MD
586 WESTBROOK ST UNIT 407
SOUTH PORTLAND, ME 04106-1405
Phone number: 325-518-5324
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