Individual
MICHEAL MERRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
588 N RAYMOND RD, POLAND, ME 04274-6937
(207) 890-1210
Mailing address
588 N RAYMOND RD, POLAND, ME 04274-6937
(207) 890-1210
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
374U00000X
ME
Other
Enumeration date
09/21/2016
Last updated
09/21/2016
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