Individual
NICOLE TRUDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
76 BRENTWOOD ST, APT 3, PORTLAND, ME 04103-2508
(207) 316-6198
Mailing address
76 BRENTWOOD ST, APT 3, PORTLAND, ME 04103-2508
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT5460
ME
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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