Individual
MS. BRENDA COTTLE DEBLOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN-CDE
Contact information
Practice address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 622-9678
(207) 623-5719
Mailing address
1 VA CTR, AUGUSTA, ME 04330-6719
(207) 622-9678
(207) 623-5719
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R027281
ME
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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