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Jessica A Verrill, MT

Specialist in South Portland, ME. Individual provider (NPI-1).

NPI number1992826192
StatusActive
Last updated in NPPESMar 28, 2016

Details

NPI
1992826192
Entity type
Individual (NPI-1)
Name
Jessica A Verrill
Credential
MT
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 3, 2007
Last updated
Mar 28, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
174400000X SpecialistMT2532MEYes

Practice location

118 Maine Mall Rd
Suite 3
South Portland, ME 04106-2309

Phone 207-899-0222

Mailing address

269 Dingley Spring Rd
Gorham, ME 04038-2169

Phone 207-899-0222

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