Individual
MRS. PRISCILLE BELANGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMF
Contact information
Practice address
193 MAIN ST, SUITE 101, BIDDEFORD, ME 04005-2590
(207) 284-8614
(207) 284-8614
Mailing address
193 MAIN ST, SUITE 101, BIDDEFORD, ME 04005-2590
(207) 284-8614
(207) 284-8614
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129570000
—
ME
01
—
19Z018028ME01
ANTHEM
ME
Enumeration date
08/01/2006
Last updated
05/07/2013
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