Individual
HEIDI DELLAIRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17 BRUNSWICK AVE, GARDINER, ME 04345-2123
(207) 299-6366
Mailing address
40 SCHOOL ST # 2, AUGUSTA, ME 04330-4838
(207) 299-6366
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4902
ME
Other
Enumeration date
11/07/2013
Last updated
02/20/2014
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