DIANE SANFORD KING

PORTLAND, ME
NPI1366593899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence: ME  C06-1206A)
Additional Taxonomies246ZS0410X Specialist/Technologist, Other, Surgical Technologist
(Licence:   C06-1206A)
Enumeration Date2007-01-12
Last Update Date2007-07-08
Business Address
-- DIANE SANFORD KING CST AS-C
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-2241
Mailing Address
-- DIANE SANFORD KING CST AS-C
15 ARLINGTON RD
SOUTH PORTLAND, ME 04106-4802
Phone number: 207-799-6968