JESUS M GANDARILLAS

BANGOR, ME
NPI1326395971
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: ME  PA1819)
Enumeration Date2012-08-13
Last Update Date2022-04-18
Business Address
JESUS M GANDARILLAS PAC
360 BROADWAY
BANGOR, ME 04401-3979
Phone number: 207-907-3000
Mailing Address
JESUS M GANDARILLAS PAC
C/O ST MARYS HEALTH SYSTEM - PROVIDER ENROLLMENT PO BOX 7291
LEWISTON, ME 04243-7291
Phone number: 207-777-8560
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