Individual
EVAN MARK PARADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS ATC
Contact information
Practice address
100 MIDDLE ST APT 1, OLD TOWN, ME 04468-1480
(207) 659-9621
Mailing address
100 MIDDLE ST APT 1, OLD TOWN, ME 04468-1480
(207) 659-9621
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT459
ME
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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