Individual
SUSAN BARRIE TALTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
718 SMYTH RD, MANCHESTER, NH 03104-7004
(603) 624-4366
Mailing address
104 GILCREAST RD, LONDONDERRY, NH 03053-3513
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
051056-21
NH
Other
Enumeration date
01/20/2007
Last updated
07/08/2007
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