Individual
PAIGE SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
37 HERSCHEL ST, CARIBOU, ME 04736-2426
(207) 496-5111
Mailing address
37 HERSCHEL ST, CARIBOU, ME 04736-2426
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT1017
ME
Other
Enumeration date
07/28/2019
Last updated
07/28/2019
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