Individual
MS. CARLA JANE HEISTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
161 TOWN HOUSE RD, CHELSEA, ME 04330-1112
(207) 621-0075
(207) 622-2637
Mailing address
161 TOWN HOUSE RD, CHELSEA, ME 04330-1112
(207) 621-0075
(207) 622-2637
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MT2883
ME
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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