MARIA LEE COLLETTE

VERGENES, VT
NPI1215941687
Former NameMARIA LEE TARDY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VT  0550030782)
Enumeration Date2006-07-28
Last Update Date2007-07-08
Business Address
-- MARIA LEE COLLETTE PA
10 NORTH STREET LITTLE CITY FAMILY PRACTICE
VERGENES, VT 05491
Phone number: 802-877-3466
Mailing Address
-- MARIA LEE COLLETTE PA
104 PORTER DRIVE
MIDDLEBURY, VT 05753
Phone number: 802-388-8808