Individual
MICHELLE FENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11 EAST ST, BENTON, ME 04901-3309
(207) 453-4708
Mailing address
11 EAST ST, BENTON, ME 04901-3309
(207) 453-4708
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
R055348
ME
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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