Organization
BALANCED SOUL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTY LOUISE MADORE FNP-C (OWNER / NURSE PRACTITIONER)
(207) 231-4348
Entity
Organization
Contact information
Practice address
37 PAGE AVE, FORT KENT, ME 04743-1217
(207) 231-4348
Mailing address
PO BOX 218, FORT KENT MILLS, ME 04744-0218
(207) 231-4348
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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