Individual
MS. MARYANNE EILEEN CHRISTIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2 BROADWAY STREET, GORHAM, NH 03581
(603) 466-2741
Mailing address
133 PLEASANT STREET, BERLIN, NH 03570
(603) 752-2040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1255
NH
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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