Individual
WENDY LETCHWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
716 STEVENS AVE, PORTLAND, ME 04103-2656
(207) 283-0171
Mailing address
50 RED GATE LANE, ACTON, ME 04001
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN70617
ME
Other
Enumeration date
06/03/2020
Last updated
06/03/2020
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