Individual
MS. KATE E SOMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
535 OCEAN AVE, PORTLAND, ME 04103-4973
(207) 232-6088
Mailing address
234 BRACKETT ST, APT. 2, PORTLAND, ME 04102-3227
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4676
ME
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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