LIEVIN UMBA PHUKUTA

PORTLAND, ME
NPI1346864279
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: ME  EC261087)
Enumeration Date2020-06-06
Last Update Date2026-08-18
Business Address
LIEVIN UMBA PHUKUTA
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-0111
Mailing Address
LIEVIN UMBA PHUKUTA
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number:
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