Individual
JOSHUA DILLON HAUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1 CITY CTR, PORTLAND, ME 04101-6420
(207) 699-2622
Mailing address
PO BOX 7640, PORTLAND, ME 04112-7640
(207) 699-2622
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT6237
LA
Other
Enumeration date
01/02/2019
Last updated
01/02/2019
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