Individual
MS. KIM GRONDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
20 NORTH AVE UNIT 1, SKOWHEGAN, ME 04976-1830
(207) 313-2762
Mailing address
28 NORTH AVE UNIT 1, SKOWHEGAN, ME 04976-1830
(207) 313-2762
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT1909
ME
Other
Enumeration date
08/29/2022
Last updated
09/04/2024
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