Individual
LISA NADA GLINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
747 SLIGO RD, NORTH YARMOUTH, ME 04097-6207
(603) 630-4261
Mailing address
747 SLIGO RD, NORTH YARMOUTH, ME 04097-6207
(603) 630-4261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT4527
ME
Other
Enumeration date
02/12/2011
Last updated
02/12/2011
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