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RACHEL LEAH MIVILLE RN

School >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1063940930

Individual Registrant:
 RACHEL LEAH MIVILLE RN
Gender: F
Sole Proprietor

Location and contact information for practice:
17 HIGHLAND AVE  WINTHROP, ME 04364-1506 US
Tel: 207-215-3982  Fax: 207-377-4671

Contact information for business:
71 THUNDERCASTLE RD  READFIELD, ME 04355-3705 US
Tel: 207-215-3982  Fax: 207-377-4671

Registration Information:
NPI: 1063940930
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WS0200XNursing Service Providers
Registered Nurse
School
MERN52948

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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