Individual
MISS MONICA MARIE LEAVITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2 MAPLE ST, GARDINER, ME 04345-2022
(207) 504-2517
Mailing address
2 MAPLE ST, GARDINER, ME 04345-2022
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000000000000000
—
ME
Enumeration date
01/28/2019
Last updated
01/28/2019
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