Individual
WANDA WILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.A.
Contact information
Practice address
30 HOULTON ST, PATTEN, ME 04765-3035
(207) 528-2285
(207) 528-2880
Mailing address
PO BOX 500, PATTEN, ME 04765-0500
(207) 528-2285
(207) 528-2880
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
06/21/2006
Last updated
07/08/2007
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