KAIYA MARE' SUNDEEN
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1659110906- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 716 STEVENS AVE, PORTLAND, ME, 041032693
- Phone
- (715) 220-6250
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
Physician Assistant
Primary License: RI #PA01951
All Addresses
MAILING
716 STEVENS AVE
PORTLAND, ME, 041032693