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Individual

ANTONELLA FUSCO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
179 MAIN ST STE 408, WATERVILLE, ME 04901-6672
(207) 747-8388
Mailing address
179 MAIN ST STE 408, WATERVILLE, ME 04901-6672
(207) 747-8388

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
ME

Other

Enumeration date
01/12/2026
Last updated
01/12/2026
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