Individual
LYNNE A HASKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MASSAGE THERAPIST
Contact information
Practice address
312 WATER ST, SKOWHEGAN, ME 04976-1734
(207) 858-0510
(207) 858-0510
Mailing address
312 WATER ST, SKOWHEGAN, ME 04976-1734
(207) 858-0510
(207) 858-0510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
ME428535
ME
225700000X
Massage Therapist
Primary
MT1396
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME428535
STATE MASSAGE THERAPIST LICENCE
ME
Enumeration date
05/08/2008
Last updated
05/08/2008
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