Individual
KAITLYN DEERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 SOUTH ST, FARMINGTON, ME 04938-6823
(207) 778-7147
Mailing address
112 MARCEAU CT APT 5B, FARMINGTON, ME 04938-1943
(207) 313-6321
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT618
ME
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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