Individual
REBECCA BROUILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
57 JEFFERSON ST, BIDDEFORD, ME 04005-2540
(860) 759-8848
Mailing address
57 JEFFERSON ST, BIDDEFORD, ME 04005-2540
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR2428
ME
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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