Individual
MS. AMY CHRISTINE BIENVENU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
99 MAPLE ST, MIDDLEBURY, VT 05753-1595
(360) 472-1356
Mailing address
4467 RICHVILLE RD, WHITING, VT 05778-9501
(360) 472-1356
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA00006888
WA
Other
Enumeration date
03/27/2007
Last updated
11/15/2021
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