Individual
KAREN DEYESSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 OCEAN AVE, PORTLAND, ME 04103-4973
(207) 232-6088
Mailing address
535 OCEAN AVE, PORTLAND, ME 04103-4973
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT1867
ME
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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