Individual
COLLEEN MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 MAIN ST, SACO, ME 04072-1543
(207) 294-3100
Mailing address
124 ELMER ST, ELMER, NJ 08318-2228
(865) 358-3242
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ00078700
NJ
Other
Enumeration date
06/10/2007
Last updated
07/08/2007
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