Individual
JANE P BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 NORTHPORT AVE, BELFAST, ME 04915-6009
(207) 338-2500
(207) 338-9380
Mailing address
PO BOX 287, BELFAST, ME 04915-0287
(207) 338-2500
(207) 338-9368
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI694
ME
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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