Individual
AMANDA LEIGH MACKELLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
25 REJANE AVE, LEWISTON, ME 04240-2513
(207) 576-3629
Mailing address
25 REJANE AVE, LEWISTON, ME 04240-2513
(207) 576-3629
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN61661
ME
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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