Individual
BONITA TOMPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
156 MAIN ST, FARMINGTON, ME 04938-1922
(207) 779-1779
Mailing address
156 MAIN ST, FARMINGTON, ME 04938-1922
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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