Jason Andrew Sedivy, HS

NPI #1316910292 in Southwest Harbor, Maine

Provider Information

NPI Number
1316910292
Entity Type
Individual
Name
Jason Andrew Sedivy, HS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Technician, Other
Credential
HS
Enumeration Date
Feb 10, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
184 CLARK POINT RD
State
Maine
ZIP Code
04679-4414
Phone
(207) 244-4678

Specialties & Taxonomy Codes

Specialty
Technician, Other

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Provider Name
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