Individual
MRS. SUSAN LORRAINE WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
7 ROPE FERRY RD, HANOVER, NH 03755-1421
(603) 646-9417
(603) 646-9410
Mailing address
7 ROPE FERRY RD, HANOVER, NH 03755-1421
(603) 646-9417
(603) 646-9410
Taxonomy
Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
Primary
B1479481
VT
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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