Organization
TRANQUIL MOMENTS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERARD GRAVES D.C. (OWNER)
(207) 947-9200
Entity
Organization
Contact information
Practice address
1510 STATE ST, VEAZIE, ME 04401-7001
(207) 947-9200
Mailing address
1510 STATE ST, VEAZIE, ME 04401-7001
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1176
ME
Other
Enumeration date
11/05/2008
Last updated
10/02/2009
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