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Elena Usova

NPI 1316287188 · on the registry since 2013 · sole proprietor

Practice

Address
125 Portland Ave Apt 7
Old Orchard Beach, ME 04064
Phone
(207) 286-6625

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2013-02-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine