| NPI | 1609053057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN J RAJCHEL Business Manager 603-896-1658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 026553-23-03) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NH 033294-21) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |