Individual
COLLEEN JO MATHIEU
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-2201
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
84923
ME
Other
Enumeration date
11/12/2025
Last updated
11/12/2025
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