All Medicaid billing entities listing VANIDESTINE, THOMAS (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Maine | 1 | $924.42 |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | VANIDESTINE CHIROPRACTIC, INC | BANGOR, ME | Chiropractor | $924.42 |