MIRANDA ANNE BACON

LEBANON, NH
NPI1265270854
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy231H00000X Audiologist
(Licence: NH  2048)
Additional Taxonomies237600000X Audiologist-Hearing Aid Fitter
(Licence: NH  2048)
231H00000X Audiologist
(Licence: NH  A850)
Enumeration Date2024-07-17
Last Update Date2024-09-06
Business Address
MIRANDA ANNE BACON HIS
1 MEDICAL CENTER DR
LEBANON, NH 03756-1000
Phone number: 603-650-5000
Mailing Address
MIRANDA ANNE BACON HIS
PO BOX 810
HANOVER, NH 03755-0810
Phone number: 603-308-1472