BRIAN BAO LE

BANGOR, ME
NPI1982718615
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: ME  51629)
Enumeration Date2006-08-19
Last Update Date2022-01-03
Business Address
-- BRIAN BAO LE CRNA
489 STATE ST
BANGOR, ME 04401-6616
Phone number: 207-973-4519
Mailing Address
-- BRIAN BAO LE CRNA
51 HARBORSIDE RD
HARBORSIDE, ME 04642-3003
Phone number: 207-992-4032