Individual
MRS. CHRISTINE STELLA STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
401 CUMBERLAND AVE, APT. 1401, PORTLAND, ME 04101-5831
(207) 332-8367
Mailing address
401 CUMBERLAND AVE, APT. 1401, PORTLAND, ME 04101-5831
(207) 332-8367
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT3574
ME
Other
Enumeration date
07/24/2008
Last updated
07/24/2008
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