Individual
MICHELLE VICENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
286 WINDING POND RD, LONDONDERRY, NH 03053-3379
(603) 437-3344
Mailing address
286 WINDING POND RD, LONDONDERRY, NH 03053-3379
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
192048
MA
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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