Individual
MARY BUTEYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
887 CONGRESS ST, SUITE 320, PORTLAND, ME 04102-3100
(207) 662-5522
(207) 662-5527
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 761-0650
(207) 761-8198
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI141
ME
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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