Individual
KARISSA BEVERAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.T.
Contact information
Practice address
7 LIMEROCK ST, ROCKLAND, ME 04841-2928
(207) 594-2122
Mailing address
PO BOX 651, ROCKLAND, ME 04841-0651
(207) 594-2122
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2355
ME
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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