MIKEAL FREEDOM MERCEDES

SOUTH PORTLAND, ME
NPI1669745592
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WR0006X Registered Nurse Registered Nurse First Assistant
(Licence: ME  RN46450)
Enumeration Date2012-02-23
Last Update Date2012-02-23
Business Address
MR. MIKEAL FREEDOM MERCEDES RNFA
16 MEMORY LN
SOUTH PORTLAND, ME 04106-6148
Phone number: 207-632-9706
Mailing Address
MR. MIKEAL FREEDOM MERCEDES RNFA
16 MEMORY LN
SOUTH PORTLAND, ME 04106-6148
Phone number: 207-632-9706