Individual
ALEX MUTUKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
188 NH 101, BEDFORD, NH 03110-5451
(603) 314-4700
Mailing address
188 NH 101, BEDFORD, NH 03110-5451
(603) 314-4700
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
072247-23
NH
Other
Enumeration date
11/02/2020
Last updated
05/04/2022
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