Tenielle Rhae Holste PA

NPI 1912184557 - Physician Assistant - 363A00000X

NPI Details
NPI 1912184557
Gender Female
Enumeration Date 01/25/2008
Last Updated 06/25/2014
Entity Type Individual
Active Over 8 years ago
Practice Location
135 PARK ST
MILO ME, 04463-1729, US
Phone (207) 943-7752
Fax (207) 564-1282
Business Location
897 W MAIN ST
DOVER FOXCROFT ME, 04426-1029, US
Phone (207) 943-7752
Fax (207) 564-1282
Toxanomy
Taxonomy Code 363A00000X
License State Maine
License Number PA1307
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According to our database, Tenielle Rhae Holste PA NPI is 1912184557, taxonomy code is 363A00000X and license number is PA1307, license state is located at Maine. Tenielle Rhae Holste PA physically located at 135 Park St, Milo ME, 04463-1729. NPI Number Tenielle Rhae Holste PA has the Individual type.

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1912184557 NPI number is provided on an as is basis without warranty of any kind. 1912184557 is maintained by the National Plan & Provider Enumeration System. The contents of Tenielle Rhae Holste PA are for informational purposes only.