MR. Larry Charles Wentworth
NPI #1972227015 in South China, Maine
Provider Information
- NPI Number
- 1972227015
- Entity Type
- Individual
- Name
- MR. Larry Charles Wentworth
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Oct 3, 2022
- Last Updated
- Oct 3, 2022
Practice Location
- Address
- 23 VASSALBORO RD
- City
- South China
- State
- Maine
- ZIP Code
- 04358-5203
- Phone
- (120) 748-5616
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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