Individual
WANDA MARY CHAISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
303 MAIN STREET, ., JACKMAN, ME 04945-0804
(207) 668-7662
Mailing address
PO BOX 804, JACKMAN, ME 04945-0804
(207) 668-7662
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/10/2021
Last updated
12/10/2021
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