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Individual

ELISE JULIET BELETIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MACCHM, DIPL. OM, LA

Contact information

Practice address
500 FOREST AVE, PORTLAND, ME 04101-1541
(207) 200-3964
Mailing address
385 WOODFORD ST, PORTLAND, ME 04103-2434
(805) 443-0083

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC759
ME

Other

Enumeration date
02/27/2023
Last updated
02/27/2023
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