MR. Blaise Ishimwe, DSP

NPI #1326647470 in Windham, Maine

Provider Information

NPI Number
1326647470
Entity Type
Individual
Name
MR. Blaise Ishimwe, DSP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Community Health Worker
Credential
DSP
Enumeration Date
Oct 20, 2020
Last Updated
Oct 20, 2020

Practice Location

Address
3 COBALT CT # PVT
State
Maine
ZIP Code
04062-4691
Phone
(225) 284-6850

Specialties & Taxonomy Codes

Specialty
Community Health Worker

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