Individual
MS. CAROLE ELAINE RIDEOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DSP
Contact information
Practice address
222 BIRMINGHAM RD, CHELSEA, ME 04330-1190
(207) 582-2440
Mailing address
222 BIRMINGHAM RD, CHELSEA, ME 04330-1190
(207) 582-2440
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
ME
Other
Enumeration date
05/01/2009
Last updated
05/01/2009
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