BRANDY BASQUE

PORTLAND, ME
NPI1710334354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ME  RNA163002)
Enumeration Date2016-05-23
Last Update Date2023-01-02
Business Address
BRANDY BASQUE CRNA
22 BRAMHALL ST
PORTLAND, ME 04102-3134
Phone number: 207-662-0111
Mailing Address
BRANDY BASQUE CRNA
181 JENKINS RD
SACO, ME 04072-9614
Phone number: 570-592-4650
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