Individual
VICKIE ELLIOTT BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19 NEWPORT RD, NEW LONDON, NH 03257-5413
(603) 369-8830
Mailing address
109 FROST LN, WEBSTER, NH 03303-7717
(603) 369-8830
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
306M
NH
Other
Enumeration date
06/15/2017
Last updated
06/15/2017
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