Individual
JOAN CHRISTINE MACKLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LNA
Contact information
Practice address
1039 ISLINGTON ST, SUITE 16, PORTSMOUTH, NH 03801-4262
(603) 431-0505
(603) 431-2228
Mailing address
1039 ISLINGTON ST, SUITE 16, PORTSMOUTH, NH 03801-4262
(603) 431-0505
(603) 431-2228
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
004705-24
NH
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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