Individual
MICHELE LEA NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
615 WILTON RD, FARMINGTON, ME 04938-6128
(207) 778-5615
(207) 778-5623
Mailing address
615 WILTON RD, FARMINGTON, ME 04938-6128
(207) 778-5615
(207) 778-5623
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PR4628
ME
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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