| NPI | 1184907214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL ANN PELLETIER Nurse Practitioner 603-672-8173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NH 032840-2303) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |