Individual
DEARBHAILE HERR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
84 COVE ST, PORTLAND, ME 04101-2514
(207) 450-8824
Mailing address
84 COVE ST, PORTLAND, ME 04101-2514
(207) 450-8824
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT 1478
ME
Other
Enumeration date
10/25/2012
Last updated
10/25/2012
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