Individual
MARK QUEIROS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 NORTH RD, SANDOWN, NH 03873-2003
(603) 887-6333
(603) 887-6900
Mailing address
208 NORTH RD, SANDOWN, NH 03873-2003
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
03996
NH
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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