Individual
DR. HOLLY RAE JOHANTGEN-BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DAOM, L.AC
Contact information
Practice address
331 MAINE ST STE 11, BRUNSWICK, ME 04011-3359
(207) 809-2282
(207) 809-2146
Mailing address
331 MAINE ST STE 11, BRUNSWICK, ME 04011-3359
(207) 809-2282
(207) 809-2146
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
1924
FL
171100000X
Acupuncturist
Primary
401
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134676133
GROUP NPI
ME
Enumeration date
01/02/2007
Last updated
04/05/2023
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