Individual
EILEEN L SMITH PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
489 STATE ST, CARDIAC WELLNESS @ EMMC, 2 KAGAN BLDG, BANGOR, ME 04401-6616
(207) 973-7218
Mailing address
43 WHITING HILL RD, SUITE 300, BREWER, ME 04412-1005
(207) 973-5035
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI260
ME
Other
Enumeration date
08/05/2009
Last updated
08/05/2009
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