Individual
SHELLEY M LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M PA C
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 609-6819
(603) 609-6821
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 609-6819
(603) 609-6821
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0539
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3071730
—
NH
Enumeration date
12/28/2005
Last updated
01/30/2020
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