Individual
JANET WILLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N., L.M.T.
Contact information
Practice address
18 HIGH ST, BETHEL, ME 04217
(207) 824-3889
Mailing address
PO BOX 944, 18 HIGH STREET, BETHEL, ME 04217-0944
(207) 824-3889
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN13076
ME
174H00000X
Health Educator
MT9
CO
225700000X
Massage Therapist
Primary
MT9
CO
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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