Individual
KRISTIE J BERUBE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
33 MOLLISON WAY, LEWISTON, ME 04240-5805
(207) 784-5782
(207) 786-5756
Mailing address
33 MOLLISON WAY, LEWISTON, ME 04240-5805
(207) 784-5782
(207) 786-5756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-831
ME
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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