Individual
LIANE GIAMBALVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LCPC
Contact information
Practice address
905 UNION ST, SUITE 11, BANGOR, ME 04401-3050
(207) 973-7334
(207) 973-7424
Mailing address
905 UNION ST, SUITE 11, BANGOR, ME 04401-3050
(207) 973-7334
(207) 973-7424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D124
ME
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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