Individual
MISS AMY CELINA STAPLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
597 MAIN ST, SOUTH PORTLAND, ME 04106
(207) 767-1700
Mailing address
597 MAIN ST, SOUTH PORTLAND, ME 04106
(207) 767-1700
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2058
ME
Other
Enumeration date
09/04/2007
Last updated
09/04/2007
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