Individual
ALICIA RYANN THERIAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CMA
Contact information
Practice address
33 WALKER ST, ASHLAND, ME 04732-3429
(207) 554-0083
Mailing address
33 WALKER ST, ASHLAND, ME 04732-3429
(207) 554-0083
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
ME
Other
Enumeration date
10/25/2016
Last updated
10/25/2016
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