Provider First Line Business Practice Location Address:
HOULTON BAND OF MALISEET INDIANS
Provider Second Line Business Practice Location Address:
88 BELL ROAD
Provider Business Practice Location Address City Name:
LITTLETON
Provider Business Practice Location Address State Name:
ME
Provider Business Practice Location Address Postal Code:
04730-6704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
207-532-4273
Provider Business Practice Location Address Fax Number:
207-532-2067
Provider Enumeration Date:
10/03/2013