Individual
RYAN VIENNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 HILLS BEACH RD, BIDDEFORD, ME 04005-9599
(207) 283-0171
Mailing address
PO BOX 1538, BANGOR, ME 04402-1538
(207) 447-8337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/14/2022
Last updated
11/14/2022
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