Individual
DANNIELLE COURCHENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
100 GRAY RD, FALMOUTH, ME 04105-2018
(207) 200-7309
Mailing address
100 GRAY RD, FALMOUTH, ME 04105-2018
(207) 200-7309
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT5458
ME
Other
Enumeration date
04/29/2015
Last updated
06/26/2015
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