| NPI | 1497459069 |
|---|---|
| Doing Business As | MOOSABEC MEDICAL |
| Entity Type | Organization |
| Authorized Contact | BREANNA LIBBY Owner/Nurse Practitioner 207-598-9648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2023-03-28 |
| Last Update Date | 2023-12-04 |