Kana Tiezan, Gabrielle

Kana Tiezan, Gabrielle is an individual health care provider with primary practice located at 741 Roosevelt Trl , Windham ME 04062-5269. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Kana Tiezan, Gabrielle can be contacted via phone (207) 893-2562.

Contact Information

Primary practice address
741 Roosevelt Trl Windham ME 04062-5269
Phone: (207) 893-2562
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X PR69543 Maine

Profile Details

NPI number 1306485065
LBN Legal business name Kana Tiezan, Gabrielle
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2019
Last updated Dec 29th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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