Cody Levensalor

NPI #1407243462 in Dover Foxcroft, Maine

Provider Information

NPI Number: 1407243462
Entity Type: Individual
Name: Cody Levensalor
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Apr 16, 2015
Last Updated: Apr 16, 2015

Practice Location

Address: 31 MAPLE ST
City: Dover Foxcroft
State: Maine
ZIP Code: 04426-1317
Phone: (207) 717-0875

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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