Individual
MR. JUSTIN RYAN ELLIOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
597 MILLVALE ROAD, BUCKSPORT, ME 04416
(207) 951-4915
Mailing address
597 MILLVALE ROAD, BUCKSPORT, ME 04416
(207) 951-4915
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
ME
Other
Enumeration date
12/28/2021
Last updated
12/28/2021
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