Individual
SUSAN KRAVETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 HIGH ST, STE 105, LEWISTON, ME 04240-7653
(207) 795-5710
(207) 795-2559
Mailing address
10 HIGH ST, STE 105, LEWISTON, ME 04240-7653
(207) 795-5710
(207) 795-2559
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI934
ME
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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