Individual
MRS. CRYSTAL FORTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
15 E CHESTNUT ST, AUGUSTA, ME 04330-5736
(207) 485-7328
Mailing address
23 HEMLOCK RIDGE RD, CHELSEA, ME 04330-1194
(207) 485-7328
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN56346
ME
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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