Organization
PICC'S PLUS
Active
Organization
PICC'S PLUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TAMMIE KESLAKE MSN (OWNER)
(207) 208-9179
Entity
Organization
Contact information
Practice address
25 MAQUOIT RD, BRUNSWICK, ME 04011
(207) 208-9179
Mailing address
PO BOX 415, BRUNSWICK, ME 04011-0415
(207) 208-9179
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
R053554
ME
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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