Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1003132986 |
---|---|
Provider Name | Mrs. Christine K Yentes |
First Address | Monroe, ME 04951-3203 |
Second Address | Belfast, ME 04915-6358 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2010 |
Last Update Date | 06/08/2012 |