Individual
MS. MAUREEN B ROE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.M.T.
Contact information
Practice address
209 MERCANTILE ST., DUBOIS, WY 82513-1234
(307) 455-3504
Mailing address
PO BOX 1234, DUBOIS, WY 82513-1234
(307) 455-3504
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
11/03/2008
Last updated
11/03/2008
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