Individual
GEORGIA MADISON CANDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
118 MAINE MALL RD, SOUTH PORTLAND, ME 04106-2309
(207) 772-1031
Mailing address
122 KNOX RD, BAR HARBOR, ME 04609-7727
(207) 479-5535
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT7123
ME
Other
Enumeration date
01/04/2024
Last updated
01/04/2024
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