Individual
MARY DUMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT
Contact information
Practice address
535 OCEAN AVE STE 1, PORTLAND, ME 04103-4970
(207) 232-8965
Mailing address
50 MAINE AVE, PORTLAND, ME 04103-3822
(207) 232-8965
Taxonomy
Speciality
Code
Description
License number
State
163WM1400X
Nurse Massage Therapist (NMT)
Primary
MT994
ME
163WM1400X
Nurse Massage Therapist (NMT)
RN34708
ME
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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