Individual
MARY MARSHALL WOODWARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LIC.AC.
Contact information
Practice address
208 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 874-4058
Mailing address
208 VAUGHAN ST, PORTLAND, ME 04102-3204
(207) 874-4058
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC207
ME
Other
Enumeration date
09/10/2008
Last updated
09/10/2008
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