Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 124Q00000X | Dental Hygienist | IPH69 | ME |
NPI | 1043639271 |
---|---|
Provider Name | Aleshia Figgins |
First Address | Bangor, ME 04401-5898 |
Second Address | Bangor, ME 04401-5790 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 15/04/2014 |