Individual
MISS DONNA ELAINE LARIVIERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
995 GOODWINS MILLS RD, DAYTON, ME 04005-7348
(207) 499-0080
(207) 499-2597
Mailing address
PO BOX 558, WEST KENNEBUNK, ME 04094-0558
(207) 499-0080
(207) 499-2597
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
ME1490
ME
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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