| NPI | 1407659717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNE LEE MALENFANT Nurse Practitioner/Primary Care 207-812-0192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-10-07 |