Individual
MS. CRISTA BLONDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
209 WESTERN AVE UNIT G, SOUTH PORTLAND, ME 04106-2452
(207) 272-5638
Mailing address
246 BEACH ST, SACO, ME 04072-2936
(207) 272-5638
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT3285
ME
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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