Individual
VICTORIA A DEANE
Active
Individual
VICTORIA A DEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
AC625
ME
207QS0010X
Sports Medicine (Family Medicine) Physician
AC625
ME
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
AC625
ME
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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