AMANDA MOON POULIN

BANGOR, ME
NPI1649291006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: ME  D1736)
Enumeration Date2006-07-21
Last Update Date2007-07-08
Business Address
-- AMANDA MOON POULIN RD,LD,CDE
905 UNION ST SUITE 11
BANGOR, ME 04401-3050
Phone number: 207-097-3733
Mailing Address
-- AMANDA MOON POULIN RD,LD,CDE
905 UNION ST SUITE 11
BANGOR, ME 04401-3050
Phone number: 207-097-3733