FRANCES ANNA MAE BACONGUIS DYSINGER

PORTLAND, ME
NPI1740751627
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: ME  PR5158)
Additional Taxonomies1835P2201X Pharmacist, Ambulatory Care
(Licence: ME  PR5158)
Enumeration Date2018-12-17
Last Update Date2018-12-17
Business Address
FRANCES ANNA MAE BACONGUIS DYSINGER
449 FOREST AVE
PORTLAND, ME 04101-2029
Phone number: 207-772-1928
Mailing Address
FRANCES ANNA MAE BACONGUIS DYSINGER
449 FOREST AVE
PORTLAND, ME 04101-2029
Phone number: