Organization
DIVINE HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE G SMITH (MEMBER)
(207) 725-5571
Entity
Organization
Contact information
Practice address
86 FARLEY RD, BRUNSWICK, ME 04011-2642
(207) 725-5571
Mailing address
86 FARLEY RD, BRUNSWICK, ME 04011-2642
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
ME
Other
Enumeration date
04/25/2018
Last updated
04/25/2018
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