MARK ENNIS

PORTLAND, ME
NPI1780466516
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: ME  RN84251)
Enumeration Date2023-10-17
Last Update Date2023-10-17
Business Address
MARK ENNIS RN
180 PARK AVE
PORTLAND, ME 04102-2957
Phone number: 207-874-2141
Mailing Address
MARK ENNIS RN
180 PARK AVE
PORTLAND, ME 04102-2957
Phone number: