Individual
MRS. OLIVIA ROSE GORNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
128 SECOND STREET, HALLOWELL, ME 04347
(207) 623-9355
(207) 623-9354
Mailing address
162 WEST ROAD, WEST GARDINER, ME 04345
(207) 724-2017
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5417
ME
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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