Individual
NATHALIE MBUYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
188 STATE ST STE 402, PORTLAND, ME 04101-5157
(207) 321-8905
Mailing address
188 STATE ST STE 402, PORTLAND, ME 04101-5157
(207) 321-8905
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/04/2025
Last updated
03/04/2025
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