Individual
MARIA LEE COLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10 NORTH STREET, LITTLE CITY FAMILY PRACTICE, VERGENES, VT 05491
(802) 877-3466
(802) 877-1188
Mailing address
104 PORTER DRIVE, MIDDLEBURY, VT 05753
(802) 388-8808
(802) 388-8322
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0550030782
VT
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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