Elizabeth S.m. Desjardin MD

NPI 1275829699 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1275829699
Gender Female
Enumeration Date 06/23/2011
Last Updated 11/26/2014
Entity Type Individual
Active Over 5 years ago
Practice Location
22 BRAMHALL ST
PORTLAND ME, 04102-3134, US
Phone (207) 662-7060
Fax (207) 662-7066
Business Location
22 BRAMHALL ST
PORTLAND ME, 04102-3134, US
Phone (207) 662-7060
Fax (207) 662-7066
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Elizabeth S.m. Desjardin MD NPI is 1275829699, taxonomy code is 390200000X Elizabeth S.m. Desjardin MD physically located at 22 Bramhall St, Portland ME, 04102-3134. NPI Number Elizabeth S.m. Desjardin MD has the Individual type.

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1275829699 NPI number is provided on an as is basis without warranty of any kind. 1275829699 is maintained by the National Plan & Provider Enumeration System. The contents of Elizabeth S.m. Desjardin MD are for informational purposes only.