MERNA MICHEAL BASELIOUS

PORTLAND, ME
NPI1922854587
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-25
Last Update Date2024-04-25
Business Address
Dr. MERNA MICHEAL BASELIOUS
190 PARK AVE
PORTLAND, ME 04102-1000
Phone number: 207-874-1028
Mailing Address
Dr. MERNA MICHEAL BASELIOUS
47 DOGWOOD CIR
WEST LEBANON, NH 03784-1749
Phone number: 802-356-9700