Individual
NOEL NEPTUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
37 COLLEGE AVE, GORHAM, ME 04038-1032
(207) 780-5023
Mailing address
37 COLLEGE AVE, GORHAM, ME 04038-1032
(937) 728-8323
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
AT001213
WV
2255A2300X
Athletic Trainer
Primary
AT571
ME
246Z00000X
Other Specialist/Technologist
AT. 002894
OH
Other
Enumeration date
03/31/2006
Last updated
05/24/2021
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