Individual
MRS. NICOLE ELISE WASILEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IPDH
Contact information
Practice address
913 MAIN STREET, VASSALBORO, ME 04962
(207) 557-5611
Mailing address
P.O. BOX 99, NORTH VASSALBORO, ME 04962
(207) 557-5611
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
RDH2659
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RDH2659
—
ME
Enumeration date
01/02/2013
Last updated
04/06/2017
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