Individual
TIFFANY ALAINA WILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
290 BREMEN RD, WALDOBORO, ME 04572
(207) 832-6347
(207) 832-4664
Mailing address
PO BOX 625, WALDOBORO, ME 04572-0625
(207) 832-6347
(207) 832-4664
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT3220
ME
Other
Enumeration date
06/10/2008
Last updated
06/10/2008
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