Individual
MICHELE LEE WHITLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
59 BANGOR ST, HOULTON, ME 04730-1740
(207) 538-3700
Mailing address
59 BANGOR ST, HOULTON, ME 04730-1740
(207) 538-3700
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R050115
ME
Other
Enumeration date
08/20/2019
Last updated
08/20/2019
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