MARY ELIZABETH LATENDRESSE

PORTLAND, ME
NPI1851678064
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: ME  MT2239)
Enumeration Date2011-11-16
Last Update Date2012-07-17
Business Address
Ms. MARY ELIZABETH LATENDRESSE LMT
218 WASHINGTON AVE
PORTLAND, ME 04101-2632
Phone number: 207-773-5778
Mailing Address
Ms. MARY ELIZABETH LATENDRESSE LMT
30 PREBLE ST APT 553
PORTLAND, ME 04101-4936
Phone number: