Individual
VALERIE BLAIS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
222 SAINT JOHN ST, SUITE 132, PORTLAND, ME 04102-3000
(207) 773-1215
(207) 773-1215
Mailing address
222 SAINT JOHN ST, SUITE 132, PORTLAND, ME 04102-3000
(207) 773-1215
(207) 773-1215
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT342
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
048124
ANTHEM BLUE CROSS BLUE SH
ME
Enumeration date
05/18/2006
Last updated
07/08/2007
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