Individual
MRS. GENA M TRIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 MARIAN DRIVE, PALMYRA, ME 04965
(207) 938-2367
Mailing address
PO BOX 81, PALMYRA, ME 04965-0081
(207) 938-2367
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/25/2007
Last updated
12/23/2009
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