Individual
JULEE CAY SUPAN-MATHIEU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
29 BRUNELLE AVE, SANFORD, ME 04073-5530
(207) 490-6951
Mailing address
29 BRUNELLE AVE, SANFORD, ME 04073-5530
(207) 490-6951
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT3297
ME
Other
Enumeration date
10/23/2007
Last updated
10/23/2007
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