Individual
MS. JAYNE L POTVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
51 RIVERSIDE DR, MILLINOCKET, ME 04462-2004
(207) 210-0007
Mailing address
51 RIVERSIDE DR, MILLINOCKET, ME 04462-2004
(207) 210-0007
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2179
ME
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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