Individual
NANCY ANNE WHITEHOUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
31 MAIN ST, GORHAM, ME 04038-1301
(207) 756-9443
Mailing address
31 MAIN ST, GORHAM, ME 04038-1301
(207) 756-9443
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5064
ME
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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