Individual
HEATHER FECTEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
446 SABATTUS ST, LEWISTON, ME 04240-4111
(207) 783-3784
Mailing address
446 SABATTUS ST, LEWISTON, ME 04240-4111
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PIC68719
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N
—
Enumeration date
12/03/2020
Last updated
12/03/2020
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