Provider First Line Business Practice Location Address:
MMC WELLNESS AND WEIGHT MANAGMENT
Provider Second Line Business Practice Location Address:
41 DONALD B. DEAN DRIVE
Provider Business Practice Location Address City Name:
SOUTH PORTLAND
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04096
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-661-5105
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/23/2021