Individual
DIANE MABERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
122 VALLEY RD, CHESTERVILLE, ME 04938-3123
(207) 779-4242
Mailing address
122 VALLEY RD, CHESTERVILLE, ME 04938-3123
(207) 779-4242
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/30/2019
Last updated
10/30/2019
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