Individual
LORRIE ANN PETTENGILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 HOYT ST, SPRINGVALE, ME 04083-1710
(207) 730-0968
(207) 850-1184
Mailing address
24 HOYT ST, SPRINGVALE, ME 04083-1710
(207) 730-0968
(207) 850-1184
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/06/2016
Last updated
08/05/2016
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