Individual
MISS RILEY MAE BILLINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
119 GANNETT DR, SOUTH PORTLAND, ME 04106-6942
(207) 773-0040
Mailing address
19 BACON ST, WESTMINSTER, MA 01473-1545
(978) 602-3580
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT959
ME
Other
Enumeration date
10/16/2019
Last updated
07/12/2024
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