Individual
KIMBERLY PARADIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
503 CUMBERLAND AVE, APT 8, PORTLAND, ME 04101-2222
(207) 316-5317
Mailing address
503 CUMBERLAND AVE, APT 8, PORTLAND, ME 04101-2222
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5438
ME
Other
Enumeration date
04/27/2015
Last updated
04/27/2015
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