Individual
SAMANTHA DANYELLE MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
108 MAIN ST, ELLSWORTH, ME 04605-1919
(207) 619-4886
Mailing address
108 MAIN ST, ELLSWORTH, ME 04605-1919
(207) 619-4886
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT7273
ME
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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