Individual
DR. STACEY M. CANTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
125 PRESUMPSCOT ST UNIT 10, PORTLAND, ME 04103-5225
(207) 805-1350
(207) 221-1789
Mailing address
125 PRESUMPSCOT ST UNIT 10, PORTLAND, ME 04103-5225
(207) 805-1350
(207) 221-1789
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CR1588
ME
111NP0017X
Pediatric Chiropractor
CR1588
ME
Other
Enumeration date
06/08/2006
Last updated
09/20/2020
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