Individual
NANCY A CALLAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
650 MAIN ST, LEWISTON, ME 04240-5935
(207) 212-3305
Mailing address
650 MAIN ST, LEWISTON, ME 04240-5935
(207) 212-3305
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT2482
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT2482
LMT
ME
Enumeration date
05/15/2019
Last updated
05/15/2019
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