Individual
THERESA HOLDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 861-5000
(207) 861-5001
Mailing address
149 NORTH ST, WATERVILLE, ME 04901-4974
(207) 861-5000
(207) 861-5001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA2206
ME
Other
Enumeration date
08/06/2021
Last updated
08/06/2021
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