Individual
MRS. MARTHA COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
57 WATER ST, BLUE HILL, ME 04614-5231
(207) 374-3496
Mailing address
57 WATER ST, BLUE HILL, ME 04614-5231
(207) 374-3496
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI153
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316128440
—
ME
Enumeration date
11/16/2007
Last updated
01/20/2021
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