KIKI S MATTRESS

PORTLAND, ME
NPI1730537515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  76943)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: ME  67377)
Enumeration Date2016-06-02
Last Update Date2024-08-23
Business Address
KIKI S MATTRESS CRNA
716 STEVENS AVE
PORTLAND, ME 04103-2656
Phone number: 800-477-4863
Mailing Address
KIKI S MATTRESS CRNA
716 STEVENS AVE
PORTLAND, ME 04103-2656
Phone number: 800-477-4863