Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 175L00000X | Homeopath |
NPI | 1306108485 |
---|---|
Provider Name | Ms. Jolinda Rockett |
First Address | Camden, ME 04843-1842 |
Second Address | Camden, ME 04843-1842 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2012 |
Last Update Date | 13/06/2012 |