Healthcare Provider Details

I. General information

NPI: 1336915305
Provider Name (Legal Business Name): DUPERSEY PROPERTY MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2023
Last Update Date: 11/30/2023
Certification Date: 11/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 SHUMAN AVE STE 2
AUGUSTA ME
04330-6020
US

IV. Provider business mailing address

64 ANNABESSACOOK DR
WINTHROP ME
04364-3885
US

V. Phone/Fax

Practice location:
  • Phone: 207-805-6772
  • Fax:
Mailing address:
  • Phone: 207-212-5365
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State

VIII. Authorized Official

Name: TONIA DUPLER
Title or Position: OWNER/OPERATIONS MANAGER
Credential:
Phone: 207-212-5365