Individual
SAMANTHA VERRONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
3 UPPER MINOT RD, POWNAL, ME 04069-6106
(917) 885-4542
Mailing address
3 UPPER MINOT RD, POWNAL, ME 04069-6106
(917) 885-4542
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
00
ME
Other
Enumeration date
09/20/2024
Last updated
09/20/2024
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